General Summary: Supports clinical performance through abstraction, review, and reporting of medical record clinical documentation and billing assessment, to support initiatives related to quality improvement, accreditation, and regulatory requirements.

Essential Job Responsibilities:

1. Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
2. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
3. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
4. Abstract moderate to highly complex clinical data using established definitions and guidelines and maintain an abstracting volume to meet internal and external reporting deadlines.
5. Perform clinical review of a medical record and summarize the findings to facilitate additional review.
6. Reviews patient non-compliance lists and conducts outreach to ensure timely disease specific and wellness visits.
7. Collects and tracks monthly, quarterly and annual process improvement measures.
8. Conducts analysis of data in cooperation with the medical staff to assist in identification of improvement activities.
9. Understands current issues, practices and trends in healthcare and communicates to employees as appropriate.
10. Presents data collected in an organized format to facilitate analysis and identification of improvement opportunities.
11. Provides documented reports of findings from data collection as requested.
12. Provides education to medical staff members and hospital staff as appropriate to enhance performance and documentation.
13. Other duties as assigned