This position evaluates events and significant issues to determine if the case meets peer review criteria. The position will provide facilities with peer review case summaries and help support facility peer review processes. The position works closely with facility CMOs, Medical Staff and leadership to support ongoing peer review activities, as well as work with system teams to help standardize peer review indicators and criteria. Work processed by the incumbent is confidential and protected from discovery pursuant to state statutes.
About Tanana Valley Clinic
Tanana Valley Clinic (TVC) has provided state-of-the-art medical services to the Fairbanks Community and Interior Alaska for over 50 years. TVC is a 60-provider multi-specialty group. We have an excellent group of physicians and clinical staff, many of whom have been at TVC for 20+ years, as a testament to our friendly work environment. Our passionate staff seek to make TVC the Medical Home for the people of the Interior of Alaska.
Coordinates investigation, analysis, and evaluation for events, significant issues or trends submitted by the facilities for potential peer review. Performs case summaries for events, significant issues, or trends that meet peer review criteria.
Coordinates peer review activities for physicians and other healthcare providers and provides information for process improvement activities, credentialing, and reappointment. Collaborates with key stakeholders to evaluate and plan process improvement activities within a facility(ies) and/or across the system.
Acts as a consultant and subject matter expert for designated clinical area(s). Acts as a consultant and subject matter expert for peer review criteria, process, regulations and requirements.
Participants in implementation of standardized peer review indicators and criteria at the system land facility level. Develops and analyzes data for administrative and clinical decision making related to peer review.
Acts as a consultant and educator in peer review program development and special projects as determined by their supervisor. May provide recommendations on facility issues related to quality and patient safety in compliance with regulatory or professional standards.
Maintains expertise through independent study as well as attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
High school diploma/GED or equivalent working knowledge. Must possess at least 1 year of experience working in a healthcare environment. Must possess and demonstrate a level of knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information Management Association (AHIMA) coding competencies. Must demonstrate general understanding of medical record keeping principles and practices, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations.Effective human relations skills are required for interacting with all levels of hospital staff, physicians, and other contacts. Must have highly developed interpersonal and team building skills.Must be able to work effectively with common office software and coding software and abstracting systems.PREFERRED QUALIFICATIONSAssociate's degree in a related healthcare field preferred.Additional related education and/or experience preferred.
Foundation Health Partners is an EEO/AAP employer;qqualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Community owned and operated, the employees of Tanana Valley Clinic, Fairbanks Memorial Hospital and Denali Center feel a great responsibility towards our patients, our community and each other. People First.
We are dedicated to the delivery of compassionate health care. We believe in kindness and courtesy to every patient, every visitor, every employee, every person, every time.
It takes a tremendous variety of strengths to meet the health care needs of our unique community. We offer a wide range of careers – nursing, finance, housekeeping, culinary, engineering, information technology radiology, pharmacy, rehab therapies and more. As the largest private employer in the Interior, Foundation Health Partners employs some of the brightest, most compassionate people in Fairbanks.
If you want to make a difference, if you want to work with great people and if you want to earn competitive benefits, become an employee of Foundation Health Partners.
Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.