Bariatric Clinical Reviewer

Company: EvergreenHealth
Location: Kirkland
Posted on: January 26, 2023

Job Description:

Job Summary:
Collects and submits accurate, complete, and timely data to the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Data Registry Platform. Compiles, documents and enters 100 percent of metabolic and bariatric procedures performed at EvergreenHealth into the MBSAQIP Data Registry Platform. Represents the MBSCR role on the Bariatric Surgery Clinical Advisory Board. Other duties include coordinating office systems, patient scheduling, authorizations, referral management and assists in other clerical duties required for the efficient operations of the program.

Primary Duties:
1. Identifies 100 percent of metabolic and bariatric surgery patients for inclusion in the MBSAQIP data registry.
2. Collects preoperative, intraoperative, 30-day postoperative, and long-term (six month and annual thereafter) follow-up data components for the program through the effective utilization of the hospital medical record systems and through a coordinated effort with individual surgeon office staff.
3. Identifies streamlining and process improvement opportunities in the data collection process.
4. Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the program.
5. Utilizes software applications for data collection and analysis.
6. Responsible for the accurate, complete and timely entry of data into the program's database.
7. Serves as an educational resource on the MBSAQIP Data Registry Platform for internal and external audiences by developing educational material and delivering presentations.
8. Coordinates the management and tracking of patients through the continuum of care. Provides oversight of patient care coordination and communicates issues in a timely fashion to department management.
9. Responsible for scheduling inpatient, outpatient surgery center, and outpatient clinic procedures following the standards established by EvergreenHealth Surgical Services and EvergreenHealth Surgical Center.
10. Responsible for non-surgical scheduling for the Weight Loss and Bariatric Care Program.
11. Obtains necessary insurance pre-authorizations as well as resolving insurance denials for Weight Loss and Bariatric Care.

License, Certification, Education or Experience:
REQUIRED for the position:
* Associate's degree or equivalent combination of education and experience.
* Completion of the Metabolic and Bariatric Surgical Clinical Reviewer (MBSCR) Online Training Program with a minimum score of 90 percent.
* Successfully maintains annual certification
* Minimum one year experience in a hospital surgery department or surgery clinic or with clinical research or medical records.
Clinical chart review and abstraction experience.
* Knowledge of medical terminology, basic anatomy, physiology, and disease process
* Ability to build relationships and gain alignment for clinical support and be able to articulate questions to receive an appropriate level of support from superiors and peers.
* Ability to interact with all members of the bariatric surgical team and administrative staff in a professional and courteous manner.
* Ability to manage data entry deadlines and EvergreenHealth accreditation processes as necessary.

DESIRED for the position:
* Bachelor's degree
* 2 years clinical experience, preferably in an MBSAQIP-accredited Bariatric Center of Excellence
* RHIA, RHIT or equivalent experience
* Quality improvement or patient safety knowledge and experience
* Database management and data entry experience
* HIPAA regulations and standards knowledge
* Basic or intermediate statistical knowledge

PM21
IND123

PI201949999

Keywords: EvergreenHealth, Kirkland , Bariatric Clinical Reviewer, Healthcare , Kirkland, Washington