Physician Peer Review Coordinator

Job Summary:

The Peer Review Coordinator is responsible for managing the coordination of internal and external provider peer review. Duties include comprehensive quality review of the medical record, abstraction, appropriate and accurate documentation of findings and review and analysis of clinical indicators related to practitioner medical management and practice patterns. Ensures the Program meets Joint Commission, CMS, Medical Staff Bylaws and other regulatory requirements. Ensures the availability of data to evaluate the initial and ongoing quality of care and competency of the Medical Staff. Aggregates and reports clinical competency and other data to medical staff leadership and hospital leadership. This position supports the medical staff chair of the peer review committee including agendas, documenting minutes for various meetings, coordination of provider reviews, compose and send correspondence related to practitioner outcomes and medical audits. The coordinator must possess excellent communication skills for data presentation and reporting to various medical staff and hospital committees. The coordinator must have superior communication skills to provide data and education to medical staff chiefs and providers based upon peer review findings and audit results. Must possess critical thinking skills.

Qualifications

QUALIFICATIONS:

• Bachelor's degree in Health Sciences, Medical Informatics, Health Administration, Management Information Systems, Science in Nursing or related healthcare field.
• Minimum of five (5) years' experience in data/statistical analysis. Certified Professional in Healthcare Quality (CPHQ) preferred, new hires must pass within 1 year of hire. Proficient computer skills with extensive experience using various software applications such as MS Excel, Word, Access, Powerpoint; Experience with clinical/healthcare software applications preferred; demonstrated knowledge and skills in statistical presentations.
• EPIC and RL6 experience preferred.