Population Health Specialist
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Job Description
The Population Health Specialist is responsible for utilizing HEDIS or NQF specifications to conduct clinical quality audits, attestations, and outreach for practice clinical quality performance improvement and gap closure.
Essential Functions
- Uses multiple Electronic Medical Record (EMR) platforms proficiently
- Conducts clinical quality audits by collecting and organizing data
- Reviews outpatient medical records, hospital records, clinical lab, and pharmacy records
- Performs attestations to improve quality metrics
- Performs outreach to external partners to coordinate timely receipt of care for patients
- Provides valuable information to external facing partners in support of improving clinical quality measures and patient care through various reports used in educational forums
- Identifies opportunities for improvement and share suggestions with leadership, coaching team, or practices
- Provides support with audit appeals research
- Responds to practice inquires in a timely and accurate manner
- Maintains confidentiality and ensures compliance with HIPAA regulations
- Other duties as assigned
Knowledge, Skills and Abilities
Knowledge of Electronic Medical Record systemsKnowledge of diagnosis codes, CPT codes, and medical terminologyAbility to learn and use new software and data toolsExcellent written and oral communication skillsGreat customer service skillsTeamwork skillsIndependent problem-solving skillsSelf-motivated and self-managedProficient in Microsoft Office SuiteQualifications
High School diploma / GED, associate or bachelor's degree preferred1-3 years' experience as a Medical Assistant, Medical Records Technician, or Referral Coordinator1-3 years' experience working with medical records and / or patients in a healthcare settingHome office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and proceduresSalary Range : $19.71- $26.28