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Quality Improvement Analyst - Tucson, United States - Tucson Medical Center
Description
SUMMARY:
Responsible for data collection of Organization's provider practices for quality measures as defined by Accountable Care Organization and payers.
Works closely with Quality Improvement and Clinical Outcomes Manager, Quality Improvement and Clinical Outcomes Manager Specialist, Practice Manager, Revenue Cycle Manager and Epic Amb Department to ensure correct configuration of EMR system and reporting functions meet quality care requirements.
ESSENTIAL FUNCTIONS:
Creates and communicates status reports in accordance with departmental standards.
Updates documentation consistently, following departmental policies and procedures.
Provides routine interaction with physicians, providers, and coding staff on a daily basis to assist with or resolve issues relating to medical documentation, coding, quality improvement, and clinical outcomes associated with patient care and service to ensure positive results.
Prepares detailed reports that provide a range of data to assist management in evaluating performance and making recommendations for Accountable Care Organization reports: HEDIS, GPRO, etc.
Assists with analyzing business operations and provides recommendations for optimum EPIC system utilization.
Develop dashboards, reports and analytical models.
Meets with customers and provides frequent written status updates to customers, team members, and department management.
Responsible for providing superior customer service while reviewing and processing information requests including medical records from patients, physicians, other medical professionals, insurance companies and others.
MINIMUM QUALIFICATIONS
EDUCATION:Completion of a 2-year college or an equivalent combination of relevant education and experience. Bachelor's degree from an accredited institution in a related field preferred or equivalent experience in a related field preferred.
EXPERIENCE:
Five (5) years of physician office and clinic operations experience. Five (5) years of related data management and reporting.
LICENSURE OR CERTIFICATION:
None required.