Surgical Clinical Reviewer

4 days ago

Toronto, Canada Sinai Health Full time

As a member of the Surgical Program at Sinai Health System the responsibilities of the Surgical Clinical Reviewer will be the planning and coordination of all dimensions of data collection for inclusion in the American College of Surgeon’s National Surgical Quality Improvement Program (ACS NSQIP). Data collection will include collecting preoperative, operative and post-operative data components. You should have excellent analytical and problem solving skills, organizational, interpersonal and communication skills. You will serve as an educational resource for our Surgical Quality Improvement Program to internal and external audiences through the development of education material and delivering presentations, engaging in collaborative learning, evaluation and sharing quality improvement lessons and solutions with networks of colleagues across the province and performing other duties consistent with the job classification as required.

**Duties and Responsibilities**
- Complete health record audits using ACS NSQIP tools in accordance with the seleted sample and methodology under the direction of the NSQIP Steering Committee
- Achieves excellence in the provision of accurate, complete and timely data, informing the development of policies and procedures related to data capture, data quality and reporting.
- Evaluates accuracy and completeness of data, including but not limited to compliance with coding standards both internal and external and reconciliation between data sources
- Demonstrated competency in CPT coding
- Conduct interviews/telephone surveys with patients/SDM
- Responsible for routine report production and dissemination to hospital stakeholders under the leadership of the Surgical Information Coordinator in Quality and Performance Measurement
- Required to support timely ACS NSQIP data submissions and others as required
- Preparation and distribution of routine reports to Hospital stakeholders
- Assists in the development of Decision Support tools for utilization review
- Achieves excellence in the provision of accurate, complete and timely data, informing the development of policies and procedures related to data capture, data quality and reporting
- Actively supports and contributes to the Data Quality and Knowledge Management Framework methodologies, best practices, continuous quality improvement (CQI) and process improvement initiatives
- Professional and ethical responsibility to protect privacy and maintain the confidentiality and security of all information related to patients, staff and the business of Sinai Health System
- Independent learner with strong organization and time management skills, managing multiple tasks simultaneously while prioritizing competing workload demands
- Demonstrates professionalism, respect/caring, integrity, dedication and excellence in the work environment
- Good communication and interpersonal skills, with the ability to work as part of a multidisciplinary team, establish and build effective working relationships with a commitment to team work and respect for peers
- Proven commitment to team collaboration and approaches to problem solving, departmental objectives, professional development as well as to the Mission, Vision, Values of Sinai Health System
- Performs other duties as assigned
- Job Requirements- Successful completion of a Baccalaureate degree in a health or science related discipline or equivalent from an accredited educational institution.
- Successful completion will be required for ACS NSQIP SCR Training/Certification Program
- Minimum (1) one year of related experience in a clinical setting: hospital surgery department, surgery clinic, clinical research, or medical records, preferred
- Certification with the Canadian Health Information Management Association (CHIMA) and current active member of CHIMA in good standing, preferred
- Certification with the Ontario Health Information Management Association (OHIMA) an asset
- Clinical chart review and abstraction experience required
- Basic statistical knowledge preferred
- Database entry and/or management experience preferred
- Quality improvement or patient safety knowledge and experience preferred
- Working knowledge of writing database queries using Crystal Report Writer, an asset
- Computer and internet experience required; familiarity and comfort with MS office products essential for success in this position (Word, Excel, Access and PowerPoint)
- Adaptable to an ever changing environment especially as it relates to the migration of the paper medical record to the electronic medical record
- Commitment to continued professional development
- Must be well organized and able to demonstrate high productivity and accuracy with attention to detail
- Ability to work independently and within a multidisciplinary team environment
- Ability to exercise tact and discretion; good judgement and problem solving skills
- Proficient in written and oral English
- Demonstrated communication, organizational a

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