- Maintains current knowledge of regulatory requirements for requirements for record content, completion, privacy and quality standards. Facilitates the dissemination of the information to the Vice President and/or Director of Quality and other appropriate personnel when notifications of changes to regulations are identified.
- Stay current on reporting requirements and changes to national and local guidelines and performance targets.
- Reviews data sets as they pertain to Value Based Purchasing, hospital Inpatient Quality Reporting, Hospital Readmission Rates and other major quality reports from CMS QualityNet, Comp data, CDC, DNV, HFAP, IDPH, the Chicago Department of Public Health, Leapfrog and other reporting and oversight bodies.
- Effectively navigates through the electronic medical record system to establish routines and reports relating patient safety indicators, infection control, mortality and other data sets.
- Performs audits required by accrediting organizations to determine if the information in the medical records is meeting set standards and regulations. Performs assigned Medicaid, Medicare, and other third-party payer audits when required.
- Abstracts medical records for compliance with mandatory performance measures for CMS and The Joint Commission utilizing all applicable reporting tools and software. Participates in implementation, concurrent review and abstraction for new measure sets.
- Extrapolates, analyzes and converts data into useful business intelligence using a variety of mediums and graphical displays.
- Maintains project documentation and ensures adherence to quality and compliance standards for project deliverables.
- Assists in data preparation for on-site surveys by regulatory agencies.
- Reviews/updates policies and procedures as directed by Director of Quality.
- Collaborates with information services or designee to abstract and analyze complex data/information requests.
- Ensures all timelines are met for abstraction and transmission of reports and data.
- Possess the ability to prepare and support Quality Improvement initiatives and projects.
- Works collaboratively with many disciplines and team members in auditing performance improvement for quality related to patient care and professional practices.
- Minimum of 1 -2 years of related experience
- Associates' degree or equivalent related experience is required
- Skill in the use of Microsoft Office, excel, and outlook applications.
- Knowledge and skill in electronic and paper medical record navigations
- Extensive knowledge and use of health care data reporting systems
-
Quality Specialist
2 weeks ago
Humboldt Park Health Chicago, United StatesPosition Summary: The Data Quality Specialist monitors and coordinates activities that relate to maintaining the quality and integrity of the medical records. This involves reviewing the medical record for accuracy, completeness and regulatory compliance on an ongoing basis. This ...
-
Quality Specialist
2 weeks ago
Illinois Action for Children Chicago, United StatesABOUT US:Illinois Action for Children ("IAFC"), a local, state, and national leader in the early childhood care and education sector for over 50 years. IAFC programs, services, and advocacy improve learning and life outcomes for children and families, including reducing the effec ...
-
Quality Specialist
2 weeks ago
Illinois Action for Children Chicago, United StatesJob Description · Job DescriptionABOUT US: · Illinois Action for Children ("IAFC"), a local, state, and national leader in the early childhood care and education sector for over 50 years. IAFC programs, services, and advocacy improve learning and life outcomes for children and fa ...
-
Quality Specialist
1 week ago
Ascension Chicago, United States**Details** · + **Department:** Total Quality Management · + **Schedule:** Full Time, Day Shifts · + **Hospital:** Ascension Saint Joseph · + **Location:** Chicago, Illinois · **Benefits** · Paid time off (PTO) · Various health insurance options & wellness plans · Retirem ...
-
Quality Specialist
1 week ago
Ascension Chicago, United StatesDetails Department: Total Quality ManagementSchedule: Full Time, Day ShiftsHospital: Ascension Saint JosephLocation: Chicago, IllinoisBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & shor ...
-
Quality Assurance Specialist
2 weeks ago
North Iowa Area Community College Chicago, United StatesQuality Assurance Specialist Workforce Innovation and Opportunity Act (WIOA) · QUALITY ASSURANCE SPECIALIST - WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) · CATEGORY/LEVEL: · PSS/5, 12-monthcontract · BASIC FUNCTION: · We are seeking a dedicated andexperienced Quality Ass ...
-
CAPA Quality Specialist
2 weeks ago
Sterling Engineering Inc. North Chicago, United StatesJob Description · Job DescriptionTitle: CAPA SpecialistHire Type: Long-term contract, OnsiteLocation: North Chicago, ILTarget Pay Range: $ $50.00/hour (W2 with full employee benefits) · Overview:Sterling has helped build careers for thousands of professionals like yourself. Our e ...
-
Quality Improvement Specialist
2 weeks ago
UCAN Chicago Chicago, United StatesPosition Title: Quality Improvement Specialist I · Department: Management and General · Reports to: Vice President of Quality Improvement, Impact & Analysis · Position Objective and Summary: · The Quality Improvement Specialist coordinates numerous program evaluation, quality ...
-
Quality Specialist, Supply Chain
2 weeks ago
AbbVie North Chicago, United States Full timeJob Description · AbbVie is dedicated to improving healthcare by providing high quality, safe, effective products and ensuring compliance. This is achieved through a commitment to quality and the continuing effectiveness of the AbbVie Quality System to meet customer and regulator ...
-
Quality Assurance Specialist
1 week ago
Katalyst HealthCares & Life Sciences Chicago, United StatesResponsibilities:Responsible for performing validation of computer systems, process automation, equipment, utility systems, and/or facilities by following approved standard operating procedures (SOPs), current Good Manufacturing Practices (GMPs) and all other regulatory requireme ...
-
Quality Assurance Specialist
2 weeks ago
Katalyst HealthCares & Life Sciences Chicago, United StatesResponsibilities: · Responsible for performing validation of computer systems, process automation, equipment, utility systems, and/or facilities by following approved standard operating procedures (SOPs), current Good Manufacturing Practices (GMPs) and all other regulatory requi ...
-
Quality Specialist
2 weeks ago
Illinois Action for Children Chicago, United StatesUnder the direction of the Program Manager of Consultation Programs, the Quality Specialist will provide training, support (technical assistance), and consultation to licensed family childcare homes and licensed childcare centers. The goal of assisti Specialist, Quality, Childcar ...
-
Quality Specialist
2 weeks ago
Illinois Action for Children Chicago, United StatesABOUT US: · Illinois Action for Children ("IAFC"), a local, state, and national leader in the early childhood care and education sector for over 50 years. IAFC programs, services, and advocacy improve learning and life outcomes for children and families, including reducing the e ...
-
Quality Specialist
1 week ago
Illinois Action for Children Chicago, United StatesIllinois Action for Children (IAFC), a local, state, and national leader in the early childhood care and education sector for over 50 years. IAFC programs, services, and advocacy improve learning and life outcomes for children and families, including reducing the effects of pover ...
-
Quality Specialist
1 week ago
Illinois Action for Children Chicago, United StatesIllinois Action for Children ("IAFC"), a local, state, and national leader in the early childhood care and education sector for over 50 years. IAFC programs, services, and advocacy improve learning and life outcomes for children and families, including reducing the effects of pov ...
-
Quality Specialist, Supply Chain
2 weeks ago
Abbvie North Chicago, United States Full timeCompany Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas ...
-
Senior Quality Compliance Specialist
1 week ago
The Ferrara Candy Company Chicago, United StatesTo perform this job successfully an individual must be able to perform each essential duty satisfactorily. - Management of Change (MOC) - Maintain the MOC process, including procedures, forms, and documentation requirements. - Review and assess propo Compliance Specialist, Qualit ...
-
Hospital Quality Coding Specialist 226370
2 weeks ago
Medix™ Chicago, United StatesTitle: Quality Coding Specialist · Hours: Monday - Friday full time · Requirements: · Follow up experience working with denials and appeals · RHIT, RHIA, CCS required · Previous hospital coding experience · Job Details: · Works collaboratively with coding leadership per thei ...
-
Home Care Quality Assurance Specialist
2 weeks ago
Addus HomeCare Chicago, United StatesTo apply via text, text 5956 to · Position Summary: The entry level Quality Assurance (QA) Specialist will conduct in-home visits at clients' homes to monitor and report on the quality of services being provided by Home Care Aides, and to determine whether existing care plans a ...
-
Quality Improvement/Safety Specialist
2 weeks ago
Page Mechanical Group Inc Chicago, United StatesLa Rabida Children's Hospital is hiring a Full-Time Quality Improvement/Safety Specialist for the Quality department in Chicago, IL · At La Rabida Children's Hospital, our mission is simple: we're dedicated to maintaining and improving the quality of life for each of our patient ...
Data Quality Specialist - Chicago, United States - Humboldt Park Health
Description
Position Summary:The Data Quality Specialist monitors and coordinates activities that relate to maintaining the quality and integrity of the medical records. This involves reviewing the medical record for accuracy, completeness and regulatory compliance on an ongoing basis. This position actively interfaces with Nursing, Compliance/Risk Management, Quality and clinicians when issues are identified.
Essential Duties and Responsibilities: