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Quality Improvement Coordinator
2 months ago
Position Overview:
The Quality Improvement Coordinator collaborates closely with healthcare providers to enhance quality metrics, risk management, clinical documentation, patient satisfaction, and overall performance.
Collaboration:
This role involves working alongside provider offices to identify and target areas for quality enhancement, risk management, clinical documentation, and patient experience. It is essential to maintain strong team dynamics with colleagues to contribute effectively to shared objectives and promote a constructive workplace atmosphere. The coordinator evaluates the workflow of providers and their staff to pinpoint areas for improvement and is accountable for devising and executing process enhancements to optimize operational efficiency. Additionally, this position entails conducting medical record reviews for appeals and exclusions in accordance with contractual obligations and ensuring adherence to all relevant Federal, State, and County regulations regarding coding and documentation for Risk Adjustment and HEDIS measures.
Performance Monitoring:
The coordinator interacts with providers and their teams to share best practices and workflows related to billing and documentation policies, addressing any conflicting or unclear documentation. They are responsible for tracking provider performance and reporting findings to management, ensuring timely escalation of any issues identified at the practice level. The role includes reporting on quality metrics, assessing strengths and weaknesses, and addressing workflow inefficiencies. Collaboration with assigned performance staff, office managers, and practice personnel is vital to coordinate efforts aimed at improving overall performance. Implementation of performance enhancement plans at the practice level is also a key responsibility.
Documentation and Reporting:
Maintaining accurate records is crucial, and the coordinator is responsible for keeping documentation current and providing weekly progress reports. They will also generate dashboard reports for providers and practices, along with actionable recommendations for improvement.
Training and Development:
This role involves educating providers and leadership on clinical indicators that reflect patient illness severity. The coordinator will develop and deliver training materials for both providers and practice staff, providing on-site collaboration and ongoing performance updates.
Qualifications:
• Preferred: Medical Assistant or LPN license, or equivalent clinical experience.
Experience:
• Preferred: 2-3 years of experience in a physician practice setting.
Knowledge:
• Preferred: Familiarity with quality metrics and risk adjustment.
About Steward Health Care:
Steward Health Care System is committed to transforming healthcare delivery, providing proactive care at sustainable costs, and fostering community prosperity. As the largest physician-led, minority-owned integrated healthcare system in the country, we prioritize the interests of our providers and their patients. Our mission is to create healthier lives and thriving communities.
