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Make It Happen At Hopkins!
Johns Hopkins Medicine is a premier, not-for-profit academic health system based in Baltimore, MD, combining top-ranked patient care with research and education. It includes six academic/community hospitals, including the flagship Johns Hopkins Hospital, along with suburban hospitals, specialized centers, and international patient services.
The Senior Quality Improvement Specialist (QIS) leads chart abstraction, measure validation, and the review of quality metrics reported to local, state, and national agencies. This role ensures accurate data submission for quality-based payment and recognition programs, including core measures, eCQMs, HACs, PSIs, and mortality metrics.
As a subject matter expert, the Sr. QIS supports quality program methodologies, data analysis, reporting, and education. They collaborate with cross-functional teams and serve as a liaison to clinical and administrative leaders.
The role includes dedicating at least 30% of time to strategic initiatives such as staff training, provider education, and process improvement, and requires a high level of autonomy and independent judgment.
Requirements:
Education:
Bachelor’s degree in healthcare or a relevant field. Master’s degree preferred .
Knowledge:
Strong understanding of medical terminology, anatomy and physiology, diagnostic and procedure coding, and fundamental disease processes. Advanced knowledge of quality-based payment and recognition programs, including measures such as HACs/MHACs, PSIs, core measures, and eCQMs. Proficient in quality improvement methodologies and the use of performance improvement tools to enhance processes.
Required Licensure/Certification:
Active licensure in the State of Maryland as a Registered Nurse (RN), Physician Assistant (PA), or in a related healthcare discipline.
Required Work Experience:
Minimum of five years of full-time equivalent clinical experience as a Registered Nurse (RN), MD, PA, or in a related clinical role. At least three years of experience in medical record auditing, abstraction, or validation , with knowledge of HACs/MHACs, PSIs, core measures, eCQMs, and risk adjustment .
Experience in data collection and analysis, report development, delivering education, and facilitating discussions with multidisciplinary teams is required. Coding and/or medical billing experience is preferred.
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