Clinical Quality Coordinator - Springhill Physician Practices (SPP)
About The Position
The Clinical Quality Coordinator is responsible for supporting primary care practice performance under health plan and value-based care programs. This position monitors, audits, and improves clinical quality measures, including HEDIS and Medicare Advantage Star Ratings, to support positive patient outcomes and maximize payer incentive opportunities. The Clinical Quality Coordinator identifies and closes patient care gaps, audits electronic health record (EHR) documentation, supports accurate coding and data reporting, and provides education to providers and clinical staff regarding quality measures and documentation requirements. Stay Connected! To ensure you don't miss important updates, we encourage you to opt in to receive text message notifications and check your email regularly throughout the hiring process. This helps us communicate with you quickly and ensures you receive timely updates regarding your application.
Requirements
- High school diploma or equivalent required.
- One (1) to three (3) years of experience in a medical office, health insurance processing, medical billing, healthcare quality, or a related healthcare setting.
Nice To Haves
- Associate degree in Healthcare Administration, Health Information Management, Medical Coding, Nursing, or a related healthcare field preferred.
- Experience with HEDIS, Medicare Advantage Star Ratings, value-based care, or clinical quality programs preferred.
- Experience with chart auditing, medical coding, or quality reporting preferred.
Responsibilities
- Monitor, audit, and improve clinical quality measures, including HEDIS and Medicare Advantage Star Ratings.
- Identify and close patient care gaps.
- Audit electronic health record (EHR) documentation.
- Support accurate coding and data reporting.
- Provide education to providers and clinical staff regarding quality measures and documentation requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
