Clinical Quality Data Abstractor Job Listing at Emerus Holdings Inc. in Houston, TX (Job ID 2024-19003)

Description

The purpose of this position is to provide high quality abstraction and improvement services following federal and hospital specifications while maintaining the highest level of confidentiality.

• 1 year of core measure abstraction experience is required.
• RN preferred.
• Exposure to quality improvement concepts and processes, preferred.
• Proficient in Microsoft Office Products, industry related core measure abstraction software systems and electronic medical record applications (i.e. Epic, Cerner).
• Ability to analyze, interpret and display data.
• Excellent communication and documentation skills.
• Strong attention to detail.
• Ability to work independently.

• Position requires fluency in English; written and oral communication.

• Abstract medical records per Center for Medicare and Medicaid Services (CMS) and Emerus specifications for metrics required to be submitted. Metrics may change on an annual basis.
• Identify charts to be abstracted per Emerus' specifications.
• Review medical record thoroughly to become familiar with documentation.
• Remain current on CMS measure specifications.
• Abstract data elements per CMS
• Transmit data elements to quality reporting database.
• Observe strict confidentiality of all information pertaining to quality assessment and improvement activities and practice discretion and sound professional judgment at all times.
• Review QualityNet questions and answers on a regular basis.
• When specifications do not provide clear direction, submit clarifying questions to QualityNet.
• Identify opportunities for improvement (OFI's) when measures are not met.
  1. Identify reason for defect if possible and collaborate with Quality Abstraction team to review
  2. Prepare analysis report summarizing OFI's
  3. Attend meetings as required to discuss OFI's/Abstracting issues.
• Provide consultation and support to clinical/operational process improvement teams
  1. Identify and recommend process improvements.
  2. Identify and recommend documentation improvements.
• Provide timely responses to questions or concerns to the CMS Quality Reporting Manager and all Emerus Leadership.
• Understand and follow all Emerus policies and procedures.

*The tasks outlined in this job description are not all inclusive but the core responsibilities of the position. The tasks are subject to change at any given time and employee will be notified, if/when updates and changes are made to the job description.