The Clinic Quality Coordinator is responsible for supporting projects working towards specific objectives defined by the Quality Performance and Clinical Informatics Department. Working under close supervision, this position is accountable for assisting HEDIS and or Quality Measure chart reviews, physician notification of individual member gap results (EMR alerts or other means), and the pulling of accurate supplemental data for assigned member lives to achieve high quality care and exceptional health outcomes. Additionally, this position will provide support patient and provider engagement and care coordination efforts for Medicare Advantage and Commercial ACO patients attributed to Triad Healthcare Network. |
Provides patient and provider outreach related to Health Effectiveness Data and Information Set (HEDIS) measures and coordinates patient care, including the review of patient charts and abstract compliant documentation. Identifies trends within offices and/or groups and communicates findings effectively to Manager, Physician Educators and/or THN Quality Performance and Clinical Informatics Department. Assists with performing monthly analysis of physician intervention reports and other quality reports to prioritize chart review goals or meet team initiatives. Promotes a positive working and team environment that is subject to stress due to evolving and quickly expanding business needs, tight deadlines, and heavy workloads. Helps utilizes various Electronic Medical Record (EMR) Systems in a "read only" access to identify accurate supplemental data. Performs other duties as assigned. |
EDUCATION: |
Required: High School Diploma or equivalent |
EXPERIENCE: |
Required: 1 year |
LICENSURE/CERTIFICATION/REGISTRY/LISTING: |
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