Data Compliance Coordinator

POSITION SUMMARY 

Gathers, analyzes, maintains and reports clinical and hospital medical review data relating to NDN and the hospital’s potential referrals, organ/tissue/eye donors and missed potential referrals. Reports data ensuring integrity and accuracy. and analyzes data to identify trends. 

ESSENTIAL FUNCTIONS 

Essential Functions Statement(s): 

• In      conjunction with Donation Development, is responsible for the completion      of NDN’s Death Record Reviews (DRR). The Data Compliance Coordinator is      specifically responsible for: 
  • Monthly       requesting death lists from referral partners for comparison to referrals       recorded in NDN’s electronic medical record. 
  • Reviews       recorded referral calls and collaborates with internal partners to reconcile       discrepancies between these reports and to compile associated compliance       reports.
  • Initiates       occurrences for all instances of missed referrals, to include failure of       hospital staff to report a cardiac time of death on a previous vented       referral. 
  • Collaborates       with Donation Development to ensure accuracy of data reports provided to       referral partners.
  • Responsible       for completing monthly recording audits for tissue and birth tissue. 
• Responsible for completion of      NDN’s Death Notification Record (DNR) filed with UNOS. 
  • Ensures timely and accurate       completion of DNRs. DNRs must be submitted 30 days after the end of the       month in which the donor hospital reported the death to the NDN or in       which NDN identified the missed referral through the death record review       process. 
  • DNRs must be submitted for all       imminent neurological deaths and all eligible deaths in NDN’s donation       service area. 
• Responsible for the completion of      NDN’s Monthly Donation Data Report/Reported Deaths filed with UNOS.
  • Ensures timely and accurate       completion of the Monthly Donation Data Report/Reported Deaths. Must be       submitted 30 days after the end of the month in which a donor hospital       reported the death to NDN.
• Conducts analysis of the DRR      review:
  • Analyze clinical data using       appropriate statistical tools
  • Prepare and provide NDN       management with comprehensive quality reports
  • Track and trend data in effort       to identify opportunities for improvement (OFI) 
• Responsible for preparing NDN      biohazardous waste for pickup and disposal:
  • Performs an audit of internal       and external documentation to ensure completeness and accuracy for tracking       the final disposition of disposed waste.
  • Files documentation of       destruction.
• Facilitates the      storage and retrieval requests for offsite document storage in accordance      to established process and procedure. 
• Keeps      current with the standards and regulations that relate to quality, organ,      tissue and ocular services including CMS, FDA, , UNOS, AATB, and EBAA.
• Initiates and participates      PDSAs and other quality improvement projects.
• Other duties as assigned.

Reasonable Accommodations Statement 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
 

POSITION QUALIFICATIONS 

Competency Statement(s) – Position Specific

· Accuracy - Ability to perform work accurately and thoroughly. 

· Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others. 

· Conflict Resolution - Ability to deal with others in an antagonistic situation. 

· Customer Oriented - Ability to take care of the customers’ needs while following company procedures. 

· Detail Oriented - Ability to pay attention to the minute details of a project or task. 

· Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace. 

· Organized - Possessing the trait of being organized or following a systematic method of performing a task. 

· Responsible - Ability to be held accountable or answerable for one’s conduct. 

· Self-Confident - The trait of being comfortable in making decisions for oneself. 

· Time Management - Ability to utilize the available time to organize and complete work within given deadlines. 

Competency Statement(s) - Company Specific

• Understand and commit to the      following: 
  • Organizational       Core Purpose: To save and heal lives. 
  • Core Values:       Relentless, Joyful, Selfless. 
  • Strategic       Anchors: Mutually beneficial partnerships, diverse revenue streams and       get to yes: every donor every time

· Team Builder - Ability to convince a group of people to work toward a goal.

· Communication, Oral - Ability to communicate effectively with others using the spoken word.

· Communication, Written - Ability to communicate in writing clearly and concisely. 

· Accountability - Ability to accept responsibility and account for his/her actions. 

· Judgment - The ability to formulate a sound decision using the available information. 

· Adaptability - Ability to adapt to change in the workplace.

· Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

· Compliance – Ability of the individual to be in accordance with established guidelines, policy, standards, or legislation.

SKILLS & ABILITIES

Education: Associate degree or two years of related experience, required.

Experience: Two years of related experience in regulated or certified industry. Experience with electronic medical records is preferred. 

Computer Skills: Proficient with Microsoft office suite, required. Experience with electronic medical records, preferred.

Certificates & Licenses: None

Other Requirements: None