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Clinical Performance Analyst / Improvement Coordinator (133) 

Category Med Staff Services - 7183  


  • The Clinical Performance Analyst and Improvement Coordinator (CPAIC) is responsible for the data abstraction, submission and validation necessary to support external agency requirements as well as organizational best practices.
  • This position is responsible for the coordination and abstraction of hospital quality improvement core measures.
  • Utilizing Process Improvement methodology, clinical expertise and proven leadership skills, the CPAIC participates in PI activities in and leads PI activities/team in the assessment, planning, design and implementation of quality/performance initiatives necessary to achieve optimal patient outcomes.
  • This position provides for continual feedback, education, monitoring, and evaluation of quality measures across the continuum of care to ensure optimal patient outcomes and appropriate utilization of healthcare services.
  • The CPAIC maintains hospital compliance with core measures for inpatient, outpatient and Medicare inpatient quality incentive programs.



  • Must accurately identify and abstract clinical data from multiple sources and be proficient in data entry and use of CMS reporting programs/requirements.
  • Must be proficient in stratification of quality and performance data activities and possess effective communication skills.
  • Must be able to meet deadlines, work independently, be self-directed and possess highly developed organizational skills with attention to detail.
  • Is a strong, supportive interdisciplinary team member, knowledgeable of performance improvement methodology and utilizes data display tools to communicate results.
  • Possesses strong critical thinking skills.
  • Facilitate and lead performance teams.


  • Conducts chart abstraction reviews of patients for CMS quality measures reporting.
  • Assesses EMR and clinical documentation capabilities necessary to meet the reporting requirements.
  • Works in conjunction with IS to meet documentation requirements.
  • Demonstrates sound knowledge of the care and decision-making for designated patient populations and seeks guidance appropriately.
  • Demonstrates self-directed learning, is a continual learner and participates in the continuing education to meet own professional development.
  • Demonstrates skills as a resource and consultant to clinical staff, care team members, and physicians.
  • Coordinates educational opportunities for clinical best practices and supports processes and insights about how to introduce them, so that the organization has readily available designs and concepts related to validation results.
  • Coordinates validation result stratification necessary to measure, monitor and enhance performance.
  • Collaborates with physicians and makes recommendations regarding validation results, core measure outcomes and quality assessment/performance improvement initiatives.
  • Confers with Executive Leadership team, physicians, nursing staff and other ancillary patient care departments regularly about CMS data abstraction and validation results.
  • Assures accuracy and completeness of clinical documentation.
  • Participates in developing and implementing the goal-directed plan for data abstraction process, which is prioritized and based on intermediate goals and specific outcome criteria.
  • Participates in activities related to clinical outcome data collection, analysis and recommendations.
  • Participates actively in staff development activities for service line care management team and nursing department personnel. Implements and coordinates validation outcomes initiatives necessary to support organizational strategies.
  • Maintains professional, ethical and accountable behaviors consistent with Patient's First in the delivery of patient care, staff and physician interactions.
  • Supports and promotes the mission and vision of Hancock Regional Hospital.
Position Requirements


ADDITIONAL EDUCATION AND EXPERIENCE REQUIREMENTS: Prior clinical experience in Quality/Process Improvement methodologies. Maintains mandatory continuing education requirements as determined for Hancock Regional Hospital.

Full-Time/Part-Time Full-Time  
Shift Days  
Sign-On Bonus  
Position Clinical Performance Analyst / Improvement Coordinator (133)  
Number of Openings 1  
Exempt/Non-Exempt Exempt  
Open Date 3/26/2021  
Location Hancock Regional Hospital  
About the Organization Hancock Regional Hospital serves Hancock County and the surrounding areas as a full-service community hospital focused on primary care, patient comfort, and convenience.

Today, a highly skilled medical and professional nursing staff anchors Hancock Regional Hospital. We have a state-of-the-art surgery department, 24-hour emergency services, OB services, progressive and critical care, a geropsychology unit, home healthcare, occupational health, a transitional care unit, a total oncology program with a cutting-edge radiation oncology center, many private rooms, and a full complement of Inpatient and outpatient services.

Our Mission is to be a Caring Community Partner by healing, improving health and wellness, alleviating suffering, and delivering acts of kindness one person at a time.  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

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