The Mount Sinai Hospital / The Mount Sinai School of Medicine
Job Class Code:CS05 Job Title:Clinical Data Coordinator, Cardiac Surgery
Patient Contact: Patient Care: Code:(for HR)
The Clinical Data Coordinator’s primary responsibility is to provide clinical data review, clinical data abstraction, and data submission to the Society of Thoracic Surgeons (STS) Registry Database and to New York State Cardiac Surgery Registry (CSRS) on behalf of Mount Sinai Heart. Responsibilities include high-quality data compilation, accurate data entry through adherence to definitions and clinical terminologies, and ensuring data integrity in accordance with compliance policies with respect to completing STS and CSRS forms. The Clinical Data Coordinator will work collaboratively with surgeons, physicians, clinical care teams, and administrative staff for all cardiac surgical procedures to ensure validity of the data. Additional responsibilities include working closely with clinical quality improvement teams and cardiac surgeons for patient outcomes projects. The STS and CSRS registry databases are used for public reporting, outcomes and measurements, hospital outreach efforts, and translational research and this position will have opportunities to work with surgeons, clinicians, nursing staff, and researchers for QAPI initiatives and outcomes research studies. The Clinical Data Coordinator position has flexibility in work hours, weekly schedule, and work-at-home options.
Duties and Responsibilities
(in order of importance and/or frequency)
Responsible for abstracting and/or auditing a large volume of clinical case records, clinical data, or other information within established deadlines in compliance with STS and CSRS data dictionary standards and in support of Cardiac Surgery and Mount Sinai Heart’s quality assessment and performance improvement program.
Applies clinical training, knowledge and clinical experience in the review of moderate to highly complex clinical information from individual patient records and other sources to abstract data elements for STS and CSRS and to ensure compliance with clinical standards of care, quality measures, and/or New York State regulations.
Works with Cardiac Surgery staff at all levels to ensure the integrity of data submissions. Strong communication and organizational skills are required to assure integrity of data and compliance of STS and CSRS data submission regulations.
Works with Data Managers and Data Analytics staff for data reliability, verification and correction of data in validation reports associated with STS and CSRS data sets. Performs periodic spot audits and planned large scale audits of data submitted in data registries.
Works with surgeons, clinicians, clinical care teams, and quality improvement specialists for special project assignments including patient safety efforts, QAPI initiatives, and/or outcomes research.
Assist in documenting standard operating procedures related to clinical documentation and source data entry, data abstraction, data quality assurance, and data submission.
Completes all responsibilities in accordance with institutional policies and procedures relating to patient data and protected health information. Confidentiality of any and all information related to STS and CSRS registries and patients is critical.
Other duties as assigned.
(HS/GED; specialized training; degree and discipline)
Minimum Related Experience
(e.g. 1 year in research environment)
Chart abstraction experience and strong familiarity of electronic health record and clinical documentation is required.
Experience as CTICU, CTOR, or CCU Nurse, CT Research Coordinator, or STS-CSRS Clinical Registry Data Abstractor is preferred.
Must have the proven ability to abstract medical records and to track down accurate information through various sources.
Must have strong clinical understanding (ideally, cardiac inpatient care or critical care unit experience) as well as ability to develop access to clinical sponsors across the unit when clinical questions arise.
Quality improvement or patient safety knowledge and experience preferred.
Minimum Licensing Requirements
(provide name and agency)
Minimum Certification Requirements
(provide name and agency)
Minimum Computer Skills
(provide program and skill level, e.g. MS Word - Basic) (skill levels are Basic, Intermediate, Advanced)
Knowledge of Epic, Cerner, health information systems, medical coding, and clinical documentation.
Familiarity and comfort with data entry in web-based forms and/or clinical systems.
Database data entry and/or data quality management experience preferred.
(e.g. Excellent written and oral communication)
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 Cardiac Surgery team, critical care teams, and administrative staff in a professional and courteous manner.
Under general supervision, analyzes and interprets highly complex clinical research data; conducts clinical testing and develops protocols. Develops work flow policies and procedures. Mentors, trains and reviews the work of less experienced clinical research staff. Oversees the clinical assessments of the study subjects. Assists with protocol submissions, database enhancements, and budget preparation.
Duties and Responsibilities:
1. Analyzes highly complex data gathered on clinical research studies.
2. Interprets complex clinical research data.
3. Conducts clinical testing, develops protocols and assures all protocol procedures are approved.
4. Prepares reports for presentation in conferences and seminars.
5. Mentors, trains and reviews the work of less experienced clinical research staff.
6. Develops work flow policies and procedures, prepares manuals and documents related to operations of the function.
7. Oversees the clinical assessments of the study subjects including but not limited to screening, evaluation and testing of the subjects.
8. Oversees data collection, processing, storage, inventory and quality control for clinical research studies.
9. Assists in budget preparation and negotiation.
10. May prepare and ensure grant applications, IRB / GCO documents are submitted.
11. Coordinates protocols and human subject approvals between various sites.
12. Assists the Principal Investigator and regulatory staff in the preparation of new protocol submissions, protocol amendments, and renewals of ongoing clinical trials.
13. May obtain informed consent under general supervision of the Investigator(s) and educate participants regarding study requirements
14. Performs other related duties.