19 days old

HEDIS Quality Coordinator DFW WellMed - Dallas TX

Dallas, TX 75201
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  • Job Code
    866994
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) 
 
WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.
 
The HEDIS Quality Coordinator is responsible for the coordination of HEDIS and STARs data gathering process.  This position evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records.
 
Primary Responsibilities:
  • Assist in the review of medical records to highlight Star/HEDIS opportunities for the medical staff
  • Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care
  • Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice
  • Communicate scheduling challenges or trends that may negatively impact quality outcomes
  • Track and trend barriers/challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices
  • Activities may include data collection, data entry, quality monitoring, health plan/WellMed form submission and chart collection activities
  • Assists with local IRR audits
  • Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures
  • Support chart chase process by requesting records from provider's offices as needed
  • Maintains education/knowledge base of HEDIS/STARs
  • Performs all other related duties as assigned
This position is based out of the Dallas office and does require some travel in the market.
 
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

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Posted: 2020-03-21 Expires: 2020-04-21

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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HEDIS Quality Coordinator DFW WellMed - Dallas TX

UnitedHealth Group
Dallas, TX 75201

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