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Performance Liaison Specialist

2 months ago

Rockledge, Florida, United States IASIS Healthcare Full time
Job Summary

The Performance Liaison plays a critical role in collaborating with physician practices to identify opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience, and performance. This remote position works closely with the Regional Performance Manager to provide essential information for successful practice visits.

Key Responsibilities
  • Collaborate with provider offices on a remote basis to target opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience, and performance.
  • Interact with and provide providers and office staff with best practices and workflows regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
  • Educate providers and leadership on clinical indicators to capture the severity of illness of the patient.
  • Develop and deliver training materials (Provider and Practice-Facing).
  • Provide leadership and staff with training, on-site collaboration, and ongoing performance reporting.
  • Work collaboratively with assigned Performance staff, Office Managers, and practice staff to coordinate improvement efforts related to overall performance.
  • Implement performance improvement plans at the practice level.
  • Maintain collaborative team relationships with peers and colleagues to effectively contribute to the working group's achievement of goals and to help foster a positive work environment.
  • Evaluate provider and office staff workflow to identify opportunities for workflow improvement and develop and implement process improvement to enhance provider and staff workflow.
  • Responsible for monitoring provider performance and reporting to management to track and share data with practice on performance against goals, escalating any issues at the practice level in a timely manner.
  • Report on quality measures and evaluate strengths and weaknesses and address workflow.
  • Complete medical record data review/collection for appeals and exclusions at the time of data submission per contractual obligations.
  • Produce and maintain records by keeping documentation up to date and reporting progress on a weekly basis.
  • Provide dashboard reports to providers and practices and recommendations on improvement.
  • Ensure compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment and HEDIS measures.
Requirements
  • Medical Assistant or LPN license preferred, or equivalent clinical experience.
  • 2-3 years of physician practice experience preferred.
  • Knowledge of quality metrics and risk adjustment preferred.
  • Must possess a strong belief in diversity, health equity, and inclusion, promoted through best practices with patients, as well as within the organization.