Program Administrator, MBS Clinical Reviewer

• Identify 100 percent of metabolic and bariatric surgery patients for inclusion in the MBSAQIP Registry
• Collect preoperative, intraoperative, 30-day postoperative, and long-term follow-up data
• Ensure confidentiality of patient health information and HIPAA compliance
• Enter accurate, complete, and timely data into the MBSAQIP Registry
• Track health information through medical records, surgery clinics, and direct patient contact
• Identify process improvement opportunities in data collection
• Use software applications for data collection, entry, analysis, and report generation
• Fulfill outcomes data and report requests for committees, quality management, infection control, and administration
• Participate in audits, accreditation, site visits, annual reporting, and corrective action plans
• Review, approve, and sign off on registry submissions, annual reports, accreditation documentation, and official correspondence
• Exercise independent decision-making over daily MBSAQIP program operations and registry timelines
• Develop and revise program policies, standard operating procedures, and data collection workflows
• Coordinate surgeons, clinical teams, and administrative leadership to enforce registry deadlines and follow-up processes
• Make determinations regarding process improvements, corrective actions, and resource utilization
• Perform and coordinate administrative tasks related to senior medical student electives and medical student educational activities
• Maintain student files, post and report grades confidentially, and support student library and call room operations
• Assist with student clerkship research, grievances, emergencies, and work-hour monitoring
• Participate in case conferences, team meetings, and quality improvement initiatives
• Establish relationships with surgery, medicine, nursing, medical records, and information systems departments
• Collaborate with bariatric surgeon office staff, academic faculty, and research teams
• Develop educational materials and deliver presentations on MBSAQIP Registry requirements
• Track key performance indicators and support continuous quality improvement projects
• Represent the metabolic and bariatric surgery program to hospital leadership, quality committees, and ACS MBSAQIP representatives
• Perform other duties as assigned

• Bachelor’s degree in health sciences, nursing, social work, public health, business administration, or related field plus four (4) years of experience in program/project administration or a related setting; OR HS Diploma plus eight (8) years of experience in program/project administration or a related setting
• Experience with reviewing charts in an Electronic Health Record
• Minimum 1 year of experience in medical coding, quality, research, or regulatory compliance
• Completion of relevant registry certification, as appropriate, within 6 months of hire
• Experience with quality indicator specifications and methodology
• Knowledge of medical terminology, basic anatomy, physiology, and disease process
• Microsoft Office proficiency;
  Word and Excel experience required
• Clinical chart review and abstraction experience required
• Proficiency with electronic health records and data tracking
• Must have proof of legal authority to work in the United States on the first day of employment
• Subject to pre-employment screening, including criminal background, drug testing, and/or education verification
• Required documents: resume and list of three professional references

Demonstrates expertise in data collection, analysis, and reporting within the MBSAQIP Registry, ensuring compliance with HIPAA and quality standards. Proficient in coordinating with clinical teams and administrative leadership to enhance program operations and improve patient outcomes.

• Data Collection and Analysis
• Quality Improvement Initiatives
• Electronic Health Record Review
• Registry Certification
• Medical Coding and Compliance

• Data Entry
• Chart Review
• Quality Indicator Specifications
• Medical Terminology
• Clinical Abstraction
• Program Administration
• Process Improvement
• Data Tracking
• Report Generation
• Basic Anatomy and Physiology

• Independent Decision-Making
• Collaboration
• Communication
• Organizational Skills
• Presentation Skills

• Registry Certification

• Metabolic and Bariatric Surgery
• HIPAA Compliance
• Quality Management
• Accreditation
• Health Sciences

• Microsoft Office
• Electronic Health Records
• MBSAQIP Registry Software