Ambulatory Quality Improvement Specialist
Pride Health is hiring an Ambulatory Quality Improvement Specialist to support our client’s medical facility based in California.
This is an 8-week contract with the possibility of an extension with competitive pay and benefits and a great way to start working with a top-tier healthcare organization!
Location – Fairfield, California (94534)
Length of Assignment – 8 Weeks (Possibility of Extension)
Pay Range - $18 - $24 an hour (Based on relevant Experience)
Shift and Schedule - Monday-Friday 9 am to 5 pm.
Job Summary
Performs quality functions in support of the ambulatory division. Accurately updates patient information in the electronic medical record related to physician assignment, deceased records, multiple missed appointments, and health plan disenrollment related to the daily operations of the practices. Reconciles and captures clinical quality documentation. Assists with health plan medical record review (MRR) surveys and compiles data for quality measure/health plan reporting. Assists with managing the data and clinical quality integrity of the medical record.Collaborate with the Manager to enhance quality measure provider and staff training, clinical performance, and process improvement efforts.
Job Duties
- Supports quality operations of the Ambulatory Division providers and clinical staff.
- Process quality and clinical results data for medical records about care gap closures, preventive, chronic conditions, and continuity of care.
- Processes medical records and supplemental data and corresponding results by medical record policies for medical records received from outside facilities, third-party vendors, lab results, and other external clinical data (i.e., updating health maintenance, preventive and chronic condition care gaps, lab and procedure results).
- Utilizes clinical knowledge to review provider and staff documentation and updates medical record data received to ensure compliance with HEDIS and CMS measures through identified health plan care gap lists.
- Utilizes clinical knowledge of vaccinations and immunization schedules, updates the medical record immunization profiles and California Immunization Registry (CAIR) to accurately reflect immunization compliance.
- Use clinical knowledge and judgment to assess external medical data received for appropriate inclusion in the medical record and supplemental data to health plans.
- Assists managers in identifying, addressing, and resolving patient medical record care gaps and issues; provides corrective feedback to team members when appropriate.
- Utilizes clinical knowledge to perform medical record and immunization reviews/ audits, in compliance with CDPH, CHDP, and HEDIS reporting requests and requirements.
- Assists in patient outreach and identifying and resolving care gap closure lists in the medical records.
- Performs duties related to policies associated with multiple missed appointments and disenrollment from the ambulatory departments.
- Complies with NorthBay‘s policies and procedures, HIPAA, safety, and other applicable regulatory statutes.
- Participates in process management activities and implements action plans.
- Performs all other duties as assigned.
Requirements
- Education: AA degree is preferred.
- Graduate of an accredited Medical Assistant program required.
- Must have completed the NorthBay Healthcare Medication Administration competency credential.
- Experience: Minimum 3 years of experience working in a medical office in an outpatient setting.
- Licensure/Certification: Certified Medical Assistant Preferred.
- Preferably it would be someone with experience processing historical medical records (ie. looking for preventive cancer screenings, pertinent labs/radiology, vaccine records, etc, and importing them into the designated areas of the patient records).
- Preferably the candidate has clinical healthcare quality knowledge and/or health information management experience.
Benefits
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Equal Opportunity Employer
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
