Quality Management Coordinator

Job ID
2021-152095
Employment Type
Full Time
Department
Quality Management
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Standard Hours
8-5 PM
Work Schedule
8 Hour
Location
CA-Scotts Valley

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Quality Management Coordinator will be a part of the Quality Management department.  The department works to measure and improve clinical quality functions across the enterprise.  This consists of monitoring and analyzing electronically submitted digital representations of clinical services, and auditing to assure accuracy in reporting.

 

JOB KNOWLEDGE, SKILLS & ABILITIES

  • Knowledge of current CPT, ICD-9 and ICD-10 coding procedures and practices.
  • Awareness of coding guidelines and understanding of CMS HCC Risk Adjustment coding and data validation.
  • Awareness of clinical HEDIS measures.
  • Experience in HCC coding preferred.
  • Experience working with physicians’ offices in regards to coding, documentation or quality measures.
  • Must be attentive to detail, accurate, thorough, and persistent in following through to completion all activities, demonstrating initiative for completing work assignments.
  • Ability to communicate effectively in verbal and written form.
  • A self-motivator with the ability to function independently in Corporate and Provider offices.
  • Extensive knowledge of Microsoft Office applications; Excel, Word, Outlook, PowerPoint.
  • Ability to learn and use other software such as, QNXT, NextGen, and other electronic medical records.

 

 

Qualifications

 EDUCATION & EXPERIENCE

 

  • Associates degree or a clinical Certification, such as CPC (Certified Professional Coder) preferred.
  • Two or more years’ experience in medical billing/coding, medical documentation improvement, pay-for-performance or similar programs, preferably in a clinical environment.
  • Experience in creating and manipulating data with spreadsheets and/or databases using Excel, Access or other similar programs and/or applications.
  • Statistical analysis and database skills a plus.
  • Must have valid California drivers’ license and clean DMV record.

 

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