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Performance Liaison
2 months ago
Job Summary: We are seeking a highly skilled Performance Liaison to join our team at Steward Health Care. As a Performance Liaison, you will work collaboratively with physician practices to identify opportunities for quality improvement, clinical documentation, and patient experience.
Key Responsibilities:- Collaborate with provider offices to target opportunities for improved quality, clinical documentation, and patient experience.
- Maintain collaborative team relationships with peers and colleagues to achieve team goals and foster a positive work environment.
- Evaluate provider and office staff workflow to identify opportunities for workflow improvement and develop and implement process improvements.
- Complete medical record data review/collection for appeals and exclusions at the time of data submission per contractual obligations.
- 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.
- Provide quality measure and clinical documentation subject matter expertise to practices and Regional Team.
- Interact with assigned providers and office staff on a regular cadence to implement best practices and workflows to improve billing, clinical documentation, and resolve conflicting/ambiguous or non-specific documentation.
- Monitor provider performance against network goals and create a performance improvement plan to ensure all annual performance goals are met by each assigned practice.
- Escalate any issues at the practice-level in a timely manner.
- Monitor quality measures and evaluate strengths and weaknesses to address opportunities for improvement.
- Produce and maintain records, keeping documentation up to date and reporting progress to supervisor on a weekly basis.
- Provide dashboard reports to providers and practices and recommendations on improvement.
- Educate providers, practice staff, and Regional Team on quality measure and clinical documentation required to meet regional performance goals.
- Develop and deliver training materials (Provider and Practice Facing) and provide performance training, on-site collaboration, and ongoing performance reporting.
- 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.
About Steward Health Care: Steward Health Care is a physician-led, minority-owned, integrated health care system dedicated to revolutionizing the way health care is delivered. Our mission is to create healthier lives, thriving communities, and a better world.
