Quality Improvement Coordinator - REMOTE (Miami)

Company: CareMax
Location: Miami
Posted on: May 16, 2022

Job Description:

Job DescriptionUnder the leadership of the Manager of Quality Improvement, the Quality Improvement Coordinator performs adequate reviewing of Health Plans / IMC gaps in care reports and medical records for required Clinical data elements for HEDIS / STARS reporting. REMOTE (Miami)ESSENTIAL DUTIES AND RESPONSIBILITIES

• Responsible for reviewing and abstracting Medical Records using the correct CPT codes for performance measurement facilitating data collection about Quality of Care rendered.
• Present to and discuss quality performance data with clinical providers, medical assistants, and clinic administrators to improve quality outcomes such as HEDIS / STARS, risk adjustment and other internal quality benchmarks.
• Coordinate activities with the medical center staff to ensure excellent quality results.
• Contact, educate and support patients to ensure effective closure of gaps in care.
• Other duties as assigned.EXPERIENCE AND REQUIRED SKILLS
  • High School Diploma or equivalent.
  • Proficient in official coding guidelines, ICD-10CM, CPT-4 and HCPCS.
  • Working knowledge of Stars/HEDIS measures, CPT codes to bill activities and interventions needed to close gaps in care for HEDIS and Stars.
  • Collection and review of Medical Record when needed.
  • 1-year HEDIS experience preferred.
  • Experience working with HEDIS software (data entry, reporting) preferred.
  • Experience in medical record review.
  • Coordinate and support clinic's medical as well as administrative staff in all quality related activities.
  • Responsible in providing a pleasant and professional customer service experience to all external and internal customers.
  • Bilingual; Spanish and English preferred.CareMax provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.Powered by JazzHRZUTuiKVHxo

Keywords: CareMax, Miami , Quality Improvement Coordinator - REMOTE (Miami), Other , Miami, Florida