Title Clinical Auditor (UAE National)

ID
‎2023-‎1989
Category
Quality
Asset : Name
Amana Healthcare
Location : Name
Abu Dhabi

Overview

Reporting to the Manager, Medical Compliance, the Clinical Auditor oversees
activities aimed at reducing variability in clinical practice and assists with
the development and standardization of clinical pathways, protocols, and
clinical practice guidelines across Mubadala Health facilities. The Clinical
Auditor leads clinical audit activities by facilitating system-wide
improvement in the overall quality, completeness, and accuracy of the medical
record documentation through extensive audit, data analysis, dissemination of
audit findings or reports and education within all clinical service lines. The
Clinical Auditor monitors physician practice standards, billing conduct and
ensures zero tolerance for unethical practice and conduct of care. The
Clinical Auditor will support all members of the Mubadala Health Group.

Responsibilities

• Enables value-based care delivery by optimizing quality and cost of clinical pathways.


• Ensure all process are in place to is to meet the regulatory standards, and coding standards to support Revenue Cycle Management.


• Participates in the development of clinical audit plans, policies, and framework in collaboration with the different medical and clinical disciplines and assists in monitoring key aspects of the plan.


• Creates and maintains a clinical audit database.


• Executes audits across multiple service lines and clinical specialties to maintain oversight of compliance to clinical practice guidelines and care pathways.


• Conducts concurrent and closed medical record reviews and communicates the findings to the appropriate clinical teams.


• Reviews quality of medical record documentation and conveys deficiencies to clinical teams as necessary.


• Maintains up to date and accurate records of clinical audit activity and of resulting action plans, to effectively manage re-audit and closure of the audit.
  Enables value-based care delivery by optimizing quality and cost of clinical
  pathways.


• Ensure all process are in place to is to meet the regulatory standards, and coding standards to support Revenue Cycle Management.


• Participates in the development of clinical audit plans, policies, and framework in collaboration with the different medical and clinical disciplines and assists in monitoring key aspects of the plan.


• Creates and maintains a clinical audit database.


• Executes audits across multiple service lines and clinical specialties to maintain oversight of compliance to clinical practice guidelines and care pathways.


• Conducts concurrent and closed medical record reviews and communicates the findings to the appropriate clinical teams.


• Reviews quality of medical record documentation and conveys deficiencies to clinical teams as necessary.


• Maintains up to date and accurate records of clinical audit activity and of resulting action plans, to effectively manage re-audit and closure of the audit.
  Participates in clinical practice guideline development, during which content
  is created or revised through a process of reviewing published guidelines and
  primary literature sources.


• Identifies auditable standards within the clinical practice guidelines and aligns key performance indicators with the same.


• Facilitates content expert team meetings to develop care standards, clinical practice recommendations and evidence-based guidelines across Mubadala Health facilities.


• Participates in department and hospital committees and task forces to facilitate changes and develop processes to improve patient care utilizing evidenced based practice guidelines.


• Collects and curates' relevant sources of evidence-based content; Present findings to content experts/work groups.


• Facilitates transition of evidence-based clinical decision support tools (i.e., order sets) into electronic health records (EHRs), and coordinates with analytics to develop reports/scorecards which track the adoption of
  the decision support tools.


• Participates in clinical practice guideline development, during which content is created or revised through a process of reviewing published guidelines and primary literature sources.


• Identifies auditable standards within the clinical practice guidelines and aligns key performance indicators with the same.


• Facilitates content expert team meetings to develop care standards, clinical practice recommendations and evidence-based guidelines across Mubadala Health facilities.


• Participates in department and hospital committees and task forces to facilitate changes and develop processes to improve patient care utilizing evidenced based practice guidelines.


• Collects and curates' relevant sources of evidence-based content; Present findings to content experts/work groups.


• Facilitates transition of evidence-based clinical decision support tools (i.e., order sets) into electronic health records (EHRs), and coordinates with analytics to develop reports/scorecards which track the adoption of
  the decision support tools.


• Organizes and leads project teams and works collaboratively with the clinical champion(s) to meet project goals.


• Acts as a liaison between Mubadala Health facilities to guarantee project deliverables are completed on time with high quality.


• Manages project timeline, risks, and scope, and communicates status to management and stakeholders on a consistent basis.


• Recognizes clinical questions or discordant work group opinions on the best evidence-based practice; resolves conflict and drives consensus during projects, particularly when published evidence is lacking or
  consensus is not easily obtained.
  Organizes and leads project teams and works collaboratively with the clinical
  champion(s) to meet project goals.


• Acts as a liaison between Mubadala Health facilities to guarantee project deliverables are completed on time with high quality.


• Manages project timeline, risks, and scope, and communicates status to management and stakeholders on a consistent basis.


• Recognizes clinical questions or discordant work group opinions on the best evidence-based practice; resolves conflict and drives consensus during projects, particularly when published evidence is lacking or
  consensus is not easily obtained.

Qualifications

Application for this position is open for United Arab Emirates Nationals
only

Required:

• Medical Doctor (MBBS) or bachelor's degree in nursing science or relevant clinical field.


• Three years (‎3) physician, nurse, case management, or utilization review experience in an acute care setting.


• Three to five (‎3-‎5) years of experience with guideline development and demonstrated clinical audit completion.

Desired:

• Master's degree in healthcare related field


• Certified American Health Information Management Association (AHIMA)