Quality Coordinator

JOB LOCATION

- Commonwealth Health Physician Network

POSITION PURPOSE

It is the direct responsibility of the quality coordinator to ensure the market's success of patient focused care models to reach the highest achievement possible. It is their job to meet the individual metrics of each program we participate in. QC is responsible for taking action on all quality attribution reports from scheduling to closing gaps in care and submitting data to the various payers. The QC will assist providers and staff with development of the skills necessary to adapt CHS best practices related to quality care workflows. This role will interact closely with the Regional Quality Director and CHS PPS Department. The QC is responsible for ensuring the accountability of the local team to achieve measurable gains within the programs, as measured by internal and external metrics.

Scope:

Physician practice quality coordinator responsibilities and functions under the administrative supervision of the Regional Quality Director

POSITION QUALIFICATIONS

Education:

Preferred:

Associates Degree Experience/Specialized Skills/Aptitudes Preferred:

Minimum 1 (one) year experience in healthcare field; preferably physician office and/or clinic setting, hospital- owned Project & Physician-Provider Practice Relationship Experience Basic understanding of HEDIS quality measures Basic understanding of health care administration, clinic philosophy, and policies and operating procedures Basic understanding of governmental regulations and reimbursement requirements Basic knowledge of legal issues relating to physician-owned practices and hospital-employed physicians. Basic knowledge of managed care industry, understanding of EMR quality management data and/or physician practice management applications. This should be combined with a succinct understanding of physician practice operations including of how charge capture and clinical documentation affects quality improvement.

Computer Skills Preferred:

Google Suite including Gmail, GDrive, GSheets, GCalendar, etc. Microsoft Office Suite including Word, Excel, Power Point, and Visio Kronos, Athena, and the ability to learn multiple new systems being used in the organization to perform daily operational activities

Licenses/Certificates:

Preferred:

Clinical Certification (i.e., CMA, LPN, RN)