Position Summary

Collects accurate data from optical imaging and the actual patient record, to provide valid and reliable patient information in accordance with the published standards.

Responsibilities

• Reviews, abstracts and analyzes clinical data for various information systems as assigned.
• Maintains current edition of guidelines for relevant data collection systems.
• Utilizes critical thinking, problem-solving and process improvement concepts to create an efficient work environment.
• Analyzes clinical data for opportunity identification and communication of those concerns to the respective source for process improvement, to facilitate the decision making process, and for the reporting of outcomes.
• Ability to use statistical techniques for data analysis.
• Collection of concurrent and accurate data in accordance with the Clinical Practice Improvement department guidelines.
• Analyzes complex reports for regulatory agencies and internal purposes in a timely and accurate manner.
• Maintains an intermediate level of knowledge regarding anatomy, physiology and medical terminology.
• Demonstrates responsibility for effective time management in order to achieve goals.
• Demonstrates ability to reprioritize in order to complete assignments as directed with ability to work independently under general supervision with latitude for initiative and independent judgment.
• Cross trained to assist with various systems as necessary.
• Trains new team members on a variety of systems to ensure compliance, data integrity, and prevent breaches of protected health information (PHI).
• Functions as a resource to Orlando Health in the area of healthcare regulations, standards of care, and clinical performance improvement.
• Works collaboratively with Clinical Practice Improvement personnel, HIM, various Clinical Nurse Specialists, Unit Based Educators, and Information Systems staff as appropriate.
• Maintains comprehensive knowledge of quality improvement philosophy, methodologies, and applications as appropriate.
• Thorough understanding of The Joint Commission standards related to Quality Improvement.
• Assist in documentation for The Joint Commission accreditation and other regulatory bodies as assigned.
• Maintains clinical information accuracy rate in accordance with the published standards including quarterly testing for data integrity (must maintain accuracy of 95% or greater).
• Informs direct report of quality issues/concerns.
• Demonstrates excellent communication skills with all team members.
• Provides feedback to direct report regarding accuracy and usefulness of data collection systems as requested.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Assumes and maintains professional growth and development through seminars, workshops educational programs and professional affiliation.
• Maintains all organizational and professional ethical standards.
• Demonstrates knowledge of medical record policies, procedures and confidentiality guidelines.
• Maintains and follows established departmental policies, procedures and objectives.

Qualifications

Education/Training

Associate’s degree in Nursing or other Health Care degree or 8 years of Healthcare experience in lieu of degree.

Licensure/Certification

Maintain current Registered Nurse license in the State of Alabama or maintain other Health Care license and/or certification and/or degree.

Experience

• Two (2) years clinical experience.
• Intermediate computer skills required with additional knowledge of MS Word and Exce