Quality Coordinator

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InnovaCare Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

💰 Venture Round on 2019-01

Healthcare Insurance

InnovaCare Health is a healthcare provider offering high-quality senior healthcare services through a network of practices and providers across central and northern Florida. By understanding the unique health needs of their patients, they empower individuals to take control of their healthcare and live healthier lives. InnovaCare Health provides a variety of services, including transportation, diagnostic testing, telehealth, primary care, and specialized in-house services such as gynecology, nephrology, and cardiology. Their facilities also feature senior centers focused on social, physical, emotional, and intellectual needs, and offer comprehensive care coordination, ultrasound, and medical screening programs for early disease detection. With 24/7 on-call physicians and a commitment to community engagement, InnovaCare Health is dedicated to ensuring convenient and accessible care for all patients.

📋 Description

• Provide quality support of the clinic team and patients. • Ensure medical records remain up to date. • Ensure the clinic meets regulatory and quality record standards and resolve any issues or discrepancies as they arise. • Perform audits on all medical records and review the data to ensure records are accurate and assess the quality of patient care. • Daily review of and prepare for the next day of assigned provider’s Cap patients. • Daily review of quality in medical records; update records accordingly to aid preparing for the next day patient visits. • Coordination of care regarding quality gaps measures pending with office managers and QI director. • Coordination of quality chart review requests from insurance companies; document, and follow-up with insurance companies. • Coordination with clinic administrators regarding medical records from hospitals, specialist visits and/or SNH for office follow-up missing in a chart. • Identify and follow up with errors regarding billing or medical assistant’s documentation detailing quality measures. • Send to QI Director Spreadsheet or similar report on time for process. • Keep EHR/EMR system (example, eCW, NextGen) up to date; identify and correct any patient’s information error. • Manage Quality Spreadsheet, CDSS/Alerts, Quality Global Alerts, Arcadia Quality Measures Portal.

🎯 Requirements

• Must complete at least a two-year associates degree through a technical school or community college. • Two years of EHR/EMR system experience (eCW, Next Gen or similar system experience preferred). • 1-2 years healthcare experience – as a quality coordinator preferred. • One year Stars Rating/Medicaid quality measures experience. • Relationship Management skills. • Effective written/verbal communication. • Ability to effect or advocate for change. • Perform critical clinical analysis. • Plan and organize effectively reports.