Job details

Quality Specialist-EHN

Wage Range: $20.57 - $32.92 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Schedule: Monday – Friday, 0730-1600/0800-1630

Required: one day/week in the office, usually on Wednesdays.

Job Summary:
As an integral team member, the Quality Specialist is responsible for supporting and facilitating quality management and performance improvement programs and activities in alignment with contractual and organizational goals and requirements.

Primary Duties

Performs medical record reviews for documentation related to HEDIS and STAR measures for submission to contracted payors.
Reviews assigned medical records to verify clinical data elements for reporting, e.g., results of laboratory tests, verification of hypertension, and the most recent blood pressure reading.
Collaborates with practices and providers for the collection of required documentation and supplemental information.
Integrates data collected from a variety of electronic and paper sources.
Manages various data organized within Excel spreadsheets.
Identifies findings supported by documentation guidelines with high level of accuracy.
Attends conference calls as necessary to provide information relating to clinical reviews and compliance.
Performs other duties as assigned.

REQUIRED for the position:

Associate Degree or equivalent combination of education and experience in healthcare
LPN may be substituted for required education
Familiarity with operations of healthcare industry and healthcare delivery systems
Proficiency with Microsoft Office: Word, Excel, PowerPoint, and Adobe
Strong communication skills
Ability to work independently, detail-oriented, and prioritize work to meet deadlines

DESIRED for the position:

Bachelor’s Degree in healthcare-related field
Experience working with population health management application (data entry, reporting)
Experience in medical record review
Experience working in EHR systems

Benefit Information:
Choices that care for you and your family.

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Medical, vision and dental insurance
On-demand virtual health care
Health Savings Account
Flexible Spending Account
Life and disability insurance
Retirement plans (457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Paid Time Off/Vacation
Extended Illness Bank/Sick Leave
Paid holidays
Voluntary hospital indemnity insurance
Voluntary identity theft protection
Voluntary legal insurance
Pay in lieu of benefits premium program
Free parking
Commuter benefits

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

2024 Benefits Guide

By EvergreenHealth

EvergreenHealth will advance the health of the community it serves through our dedication to high quality, safe, compassionate, and cost-effective health care.

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FUNDING

Nonprofit

DEPARTMENTS

Quality Assurance

SENIORITY LEVEL REQUIREMENT

Mid-Level

INDUSTRY

Health Care Services & Hospitals

TEAM SIZE