The quality coordinator is responsible in helping to drive all quality initiatives to ensure successful compliance with all payers, internal and governmental incentive programs. Helping the market to achieve maximum incentive payments. This position also supports all safety, patient experience, and other ad hoc initiatives, as necessary.
2503022944 Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship
Reviews non-compliance lists and conducts outreach to ensure timely disease specific and wellness visits and tests with submission to the respective payer. Completes quality, safety and other ad hoc reporting on a monthly basis. Prepares payer continuity of care forms for provider completion. Reviews monthly payer reports related to medication adherence, open care gaps, and HCC/Raf opportunities and communicates outliers to respective practice to complete. Participates in practice safety walkthroughs and proactively helps to identify potential areas of risk. Help to facilitate new hire and annual competency assessments.
Education:
Required: Must have a high school diploma/GED.
Preferred: Associates degree.
Experience:
Required: 2 years working in an outpatient medical practice.
Preferred: Experience in primary care setting.
Certification:
Not appliable

LI-RF

Please refer the Job description for details