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Job Description

Quality Improvement Research Analyst-Quality Assurance Corporate- Full-Time Days Hybrid

The Quality Improvement Research Analyst is responsible for preparing data abstractions and analyses of clinical data; assisting in the design and testing of data collection instruments and assisting in project management and research activities.

The Analyst works within the Quality Assessment and Improvement Department to collect and evaluate clinical data as part of the hospital's Performance Improvement Program. The primary focus of this role is to maintain compliance with the collection of data related to measurement mandated by the JCAHO, CMS, and by the NYS DOH .

Qualifications

• Bachelors degree in related science field

• 5 years Medical-Surgical Nursing experience, or experience in a health care-related field

, 195 - HSO Clinical Data Registries - MSH, Mount Sinai Hospital

Responsibilities

• Abstraction of data related to JCAHO Core measures, CMS Publicly Reported Measures, and other data as mandated by NYS DOH, IPRO, and other regulatory agencies

• On a daily basis, utilize expert knowledge of measure-specific/indicator-specific inclusion and exclusion criteria for mandated measure sets

• Daily abstraction of both paper and electronic patient records based on established tools

• Daily data entry into MHA web tools and monitor status

• On a daily basis, develop a report of cases not meeting inclusion criteria, coding issues, and cases that did not meet the measurements standard and review with the Performance Improvement Coordinator. Make preliminary recommendations relative to inclusion/exclusion, re-coding, and documentation remediation

• Create reports of "preliminary review findings" on concurrent reviews as well as third party "sampled" cases. Highlight trends and patterns

• Conduct quality control and validation audits on a routine basis and prior to data submission to MHA, JCAHO/CMS, and DOH. Participate in the resolution of transmission errors, omissions critical errors related to submissions to MHA and QNET

• Participate in activities related to CMS validation audits

• Participate in weekly team meetings. Provide education to involved clinicians relative to documentation. Assist in problem solving and formulation of performance improvement strategies related to inclusion and documentation

• Develop education strategies for clinicians relative to documentation

• Work with clinicians to provide "just in time feedback"

• Serve as a resource to unit-based triads

• Participate in Special Studies as assigned

• Participate in the development of chart abstraction tools for special studies and audits

• Maintain organized documentation of completed reviews and chart tracking

• Performs other related duties.

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. This includes advocating for equitable policies, addressing barriers that limit potential, and standing in solidarity with colleagues who face unfair treatment.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer Minorities/Women/Disabled/Veterans

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $65885 - $98827 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.