Quality Review Analyst II

mclarenhlth; Grand Blanc (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

McLaren Health Care is seeking a Quality Data Analyst to support quality improvement and organizational excellence by performing quality and compliance activities, including abstraction and analysis of medical data. The role coordinates data collection, supports CMS/TJC reporting, and helps ensure data accuracy across departments.

The ideal candidate has an associate degree and at least three years of healthcare data quality experience, with strong analytical and collaborative skills to improve

Qualifications

• Associate degree required in nursing or related field.
• At least 3 years of healthcare data quality experience.
• Experience with data abstraction and CMS/TJC reporting.

Responsibilities

• Manage concurrent and/or retrospective review of medical record data per criteria.
• Abstract and analyze clinical data from multiple sources.
• Coordinate timely collection of data from internal sources.
• Support CMS and TJC reporting and validation.
• Collaborate with departments to improve data accuracy and completeness.

Skills

Data quality

Quality improvement

Data abstraction

Regulatory reporting

Statistical analysis

Education

Associate degree

Bachelor’s degree

Job description

Position Summary:

Supports effective operations of the quality improvement and organizational excellence in areas by assisting with performing quality and compliance related activities, supporting abstraction process based on CMS and The Joint Commission (TJC) standards and other related activities. May coordinate medical staff quality and appropriateness review activity.

Essential Functions and Responsibilities:

1. Manages concurrent and/or retrospective review of medical record data according to established criteria.
2. Abstracts and analyzes clinical and health data elements from multiple sources.
3. Coordinates timely collection of data from multiple internal data sources.
4. Participates in data collection and reporting through internal and external authorities (e.g., CMS, TJC).
5. Initiates collaboration with personnel in other departments to improve data accuracy, collections, and completeness to achieve quality metrics set by various regulatory groups.
6. Develops, coordinates, and applies statistical analysis when producing periodic documents or presentations according to reporting requirements and schedule.
7. Updates reports based on changes to quality and regulatory reporting.
8. Engages appropriate resources to troubleshoot and resolve data issues. Monitors and implements changes to improve data validity.
9. Communicate directly with vendors, develops and maintains database, installs and tests software upgrades.
10. Serves as an expert in the implementation of new and existing policies, procedures, parties, and standards.

Qualifications:

Required

• Associate's degree in nursing, healthcare administration, business administration, health information management/technology, or related field from an accredited educational institution.
• Experience related to healthcare data quality for three (3) years.

Preferred

• Bachelor’s degree in nursing, healthcare administration, business administration, technical/analytical field, or related field from an accredited educational institution.
• Certification in Quality Improvement/ Patient Safety (i.e., CPHQ, ASQ, CQIA, Team STEPPS Master Trainer, Project Management).