1+ months

Medical Assistant Quality Coordinator - 930694

Plano, TX 75074
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  • Job Code
    930694

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 lifes best work.(sm)

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This position is responsible for the coordination of HEDIS and STARs data gathering process. This 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.

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Primary Responsibilities:

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  • Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff
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  • 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
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  • Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice
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  • Communicate scheduling challenges or trends that may negatively impact quality outcomes
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  • 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
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  • Activities may include data collection, data entry, quality monitoring, health plan / WellMed form submission and chart collection activities
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  • Assists with local IRR audits
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  • Maintains education / knowledge base of HEDIS / STARs
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  • Performs all other related duties as assigned
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  • Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS / Star measures
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  • Support chart chase process by requesting records from providers offices as needed
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Youll 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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Required Qualifications:

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  • High School diploma or GED
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  • 3+ years of healthcare experience to include experience in a managed care setting
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  • 3+ years of experience with data analysis / quality chart reviews. Must be able to review data and provide recommendations for improvement
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  • Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets
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  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctors diagnosis of disease
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Licensed Vocational / Registered Nurse, or Certified Professional Coder
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  • 1+ years of HEDIS / STAR experience or participation with similar regulatory reporting
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  • 2+ years of college, in pursuance of a Bachelors or Associates degree
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  • 2+ years of experience working with HEDIS / STAR measures
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  • ICD 9/10 and CPT coding experience
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  • Experience working in a physician, provider, and/or medical office
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  • EMR and HEDIS knowledge and experience
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USMD part of OptumCare is a multi-specialty group of hospital, clinics and physicians. USMD serves the Dallas-Fort Worth metropolitan area with more than 250 physicians and associate practitioners and provides healthcare services to patients in more than 20 different specialties at its 2 hospitals, 4 cancer treatment centers and nearly 50 physician clinics, many of which are multi-specialty.

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Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Medical Assistant, Quality Coordinator, HEDIS, Medicare, Plano, TX, Texas

Posted: 2021-05-21 Expires: 2021-07-21

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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Medical Assistant Quality Coordinator - 930694

UnitedHealth Group
Plano, TX 75074

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