Acute and Regulatory Quality Reporting Coordinator

Acute And Regulatory Quality Reporting Coordinator - 30368

We are currently looking for a Full Time Acute and Regulatory Quality Reporting Coordinator to join our Acute and Regulatory Quality team located at the Chickasaw Nation Medical Center working 8:00AM-5:00PM
- Mo Tu We Th Fr.

Summary:

Serves as the organization's coordinator for regulatory quality reporting and compliance.

Responsibilities:

• Coordinates collection, abstraction, validation, analysis, and submission of quality data for CMS, Joint Commission, QPP/MIPS, eCQMs, and other regulatory programs
• Leads quality reporting projects from planning through submission while meeting regulatory deadlines
• Maintains current knowledge of the federal, state, accreditation, public reporting, and payer program requirements and communicates upcoming changes
• Proactively identifies upcoming measure changes and communicates operational impacts to stakeholders
• Collaborates with Epic analysts, Information Technology, clinical leaders, and operational departments to improve data capture and reporting workflows
• Validates quality measures, conduct testing and readiness assessments, and ensure data integrity
• Develops project timelines and implementation plans for new quality measures and reporting requirements
• Partners with departments to operationalize new quality measures and reporting workflows
• Analyzes clinical, operational, and quality data to identify trends and improvement opportunities
• Monitors performance against benchmarks and regulatory targets, and industry best practices
• Provides routine updates to quality leadership regarding project status and reporting readiness
• Supports the Quality Assessment and Performance Improvement (QAPI) program through performance monitoring, regulatory reporting, and quality improvement initiatives
• Tracks and reports quality outcomes, patient safety indicators, readmissions, mortality measures, and organizational metrics
• Utilizes evidence-based quality improvement methodologies, benchmarking techniques, and statistical process control (SPC) tools, as appropriate, to drive performance improvement
• Facilitates cross-functional meetings to coordinate responsibilities, monitor milestones, resolve issues, and ensure successful execution of quality initiatives
• Identifies reporting risks, operational impacts, and resource needs
• Escalates concerns and recommends solutions to support organizational compliance and performance goals
• Assists with dashboards, scorecards, reports, presentations, and data visualizations
• Supports Epic quality reporting tools, registries, dashboards, and electronic reporting solutions
• Provides education regarding quality reporting, documentation, and regulatory requirements
• Supports survey readiness, accreditation activities, audits, and compliance monitoring
• Conducts medical record reviews, audits, and validation activities as needed
• Participates in committees and work groups as assigned
• Provides first class customer service to both internal and external customers and responds to inquiries, compliments, and/or complaints with professionalism, courtesy, and efficiency
• Completes all training and development requirements and participates in continuing education opportunities
• Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
  - Maintains a clean, organized work area and ensures a safe environment
  - Maintains and promotes professionalism
  - Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
  - Adheres to Chickasaw Nation dress code standards
• Maintains knowledge of and follows all rules, regulations, policies and guidelines for assigned area
• Performs all other duties as assigned

Competencies:

• Able to follow instructions, both written and oral
• Able to adhere to all scheduling and attendance requirements
• Strong analytical and critical thinking skills
• Honesty, truthfulness, reliability, accountability
• Able to read, understand, apply, and retain knowledge of Chickasaw Nation, departmental, divisional and all other rules, regulations, policies, procedures and guidelines
• Knowledge of CMS, Joint…