Health Data Coordinator IV

University of Rochester • Alabaster, AL

3d • $21 - $28 • Onsite

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

This role is responsible for primary care population health management and performance improvement of clinical quality metrics. The coordinator will provide ongoing data collection, tracking, analysis, reporting, and outreach on key benchmarks. They will offer data-driven support for operational efforts related to payer contracts, provider compensation incentives, and overall population health. Collaboration with practice teams on quality and process improvement initiatives is key, involving compiling and reporting data trends. The role also supports the data analytics supervisor with implementation projects and assists in training new coordinators.

ESSENTIAL FUNCTIONS:
Independently analyzes clinical metric dashboards and practice progress, identifying trends and compliance changes. Generates and maintains clinical quality metric reports. Reports data integrity issues and drives patient outcomes aligned with value-based contracts. Supports provider performance by maintaining accurate records and performing patient outreach for gap closure. Propels accurate provider patient panel management through direct outreach to confirm patient status and update records.

Performs comprehensive pre-visit planning by reconciling patient charts in eRecord, ensuring completeness and retrieving outstanding records. Leverages EMR and other systems for efficient data gathering. Supports providers by placing orders or referrals for review. Serves as a liaison between specialty providers/imaging and the practice regarding care coordination. May coordinate or schedule provider appointments for preventive and chronic care management.

Identifies gaps in care by proactively reviewing patient records for missing preventative, chronic, or follow-up care. Performs outreach via phone, letters, or patient portal messages. Monitors outstanding quality health care metrics and measures progress. Drives quality improvement and gap closure for patient populations.

Partners with population health leadership and peers to develop innovative workflows and care coordination processes. Pilots workflow modifications within assigned practice(s) to test effectiveness. Designs and validates enhanced processes for achieving clinical quality metrics. Leads implementation efforts to scale validated processes. Provides work coverage for fellow care coordination staff during extended leaves. Serves as primary back-up for peer roles. Identifies and completes value-add projects to evaluate reporting and processes. Continually expands EMR and systems knowledge. Maintains a high level of knowledge of medical record operations. Collaborates with Administration to train new staff. Provides continued support to new staff regarding workflows and procedures.

Maintains excellent record keeping of clinical quality metrics by populating records into the electronic medical record, supporting incentivized payer contracts and provider compensation. Requests records from specialty providers or imaging facilities and follows data entry standards for accurate record keeping.

Co-leads practice-based teams supporting annual NCQA renewal recognition. Builds strong working relationships with practice staff and providers. Identifies and executes best practice workflows. Works with providers to determine action plans for performance improvement based on data-driven recommendations. Other duties as assigned.

Requirements

• Associate's degree and 3 years experience in a professional office environment, including clinical, operational, quality data collection and reporting experience required
• Excellent time management, interpersonal, communication, and organizational skills with attention to detail and ability to work independently required
• Ability to interface effectively with a broad array of individuals including but not limited to patients, providers, nurses, managers, and other staff required
• Effective verbal and written communications required

Nice To Haves

• Bachelor's degree preferred
• Or equivalent combination of education and experience

Responsibilities

• Responsible for primary care population health management and performance improvement of clinical quality metrics such as breast cancer screening, colon cancer screening, diabetes management, hypertension management, pediatric well child checks, lead screenings, and immunizations.
• Provides ongoing data collection, tracking/monitoring, analysis, reporting and outreach on these key benchmarks.
• Offers data-driven support for operational efforts related to payer contracts, provider compensation incentives, and overall population health tied to improving these metrics.
• Collaborates with practice teams on quality and process improvement initiatives by compiling and reporting data trends on quality projects focused on moving these clinical care measures.
• Leads practice teams in quality and process improvement initiatives Supports these initiatives with collection and reporting of data trends in quality initiatives.
• Supports data analytics supervisor with development, testing and education for implementation projects for data coordinators and other staff as appropriate.
• Assists in onboarding, training, mentor new coordinators.
• Independently analyzes several clinical metric dashboards and practice progress through identifying trends, patterns, or sudden compliance changes based on autonomous data interpretation and evaluation.
• Independently generates, maintains, and delivers clinical quality metric reports for provider’s quality metric performance.
• Exercises individual discretion by proactively reporting any data integrity issues noticed through ongoing chart reviews.
• Drives successful patient outcomes in alignment with valued based contracts.
• Supports provider performance for clinical quality metrics by maintaining accurate records, providing documentation and performing patient outreach through the gap closure management process.
• Propels accurate provider patient panel management by conducting direct outreach to active vs inactive patients to confirm if they still consider the practice their main provider and need to reestablish care after time away or determine if they now see other providers necessitating documentation updates in their medical records for accurate reflection of their full care team across systems.
• Performs comprehensive pre-visit planning by independently reconciling individual patient charts in eRecord, utilizing various portals and databases to ensure charts are up-to-date before appointments, including identifying any missing test results, exams, or other clinical data and retrieving outstanding records to complete chart documentation.
• Leverages strong working knowledge of EMR and other systems to efficiently gather necessary pre-visit information.
• Autonomously supports providers by placing orders or referrals, to review and approve for the clinical quality metrics regarding preventive care and chronic care management.
• Serves as main liaison between specialty provider offices or imaging and the providers regarding care coordination and follow-up care for patients.
• May independently coordinate or schedule provider appointments for patients to receive medical services for preventive care and chronic care management based on individual assessment.
• Independently identifies gaps in care by proactively reviewing patient records to determine missing preventative, chronic, or follow up care across patient populations clinical quality metrics.
• Performs comprehensive outreach through various modalities, including but not limited to, phone calls, letters, and/or patient portal messages.
• Leverages analytical reports and dashboards to closely monitor outstanding quality health care metrics and measure progress.
• Serves as main driver of quality improvement/gap closure for patient population by taking accountability to improve benchmark metric performance.
• Partners with population health leadership and peers across practices to ideate innovative workflows, care coordination processes and procedural enhancements focused on elevating practice-level population health initiatives.
• Takes ownership in piloting small-scale workflow modifications directly within assigned practice(s) to empirically test effectiveness before presenting data-backed recommendations to champion wider change adoption across the network.
• Designs and validates enhanced processes for achieving clinical quality metrics aligned to value-based contracts.
• Leads implementation efforts to scale validated processes across the broader population health team.
• Provides complete work coverage for fellow care coordination staff out on extended leaves at any practice within the network.
• Serves as primary back-up for peer roles to independently manage all daily responsibilities and time-sensitive deliverables across assigned practice(s), ensuring no drop-off in population health support during peer extended leaves.
• Exercises individual discretion in identifying and completing value-add projects that evaluate reporting, dashboard metrics, and processes to elevate population health.
• Continually expands EMR and systems knowledge to advance initiatives and smoothly cover workflows network-wide.
• Maintains a high level of knowledge of functional operations of the medical record to advance population health initiatives and overall workflows.
• Collaborates with Administration to train new staff through hands-on learning and workflow observation.
• Independently provides continued support to new staff regarding workflows, best practices, and standard procedures.
• Maintains excellent record keeping of clinical quality metrics for the patients by populating records into the electronic medical record which aids in achieving goals set by incentivized payer contracts and supports provider compensation.
• Independently requests records from specialty provider offices or imaging facilities and follows data entry standards to ensure accurate record keeping for high-quality patient care.
• Takes ownership as co-lead for practice-based teams supporting annual NCQA renewal recognition with leadership, including independently attending meetings and providing necessary reports to complete renewal application.
• Proactively builds strong working relationships with all practice staff and providers through everyday collaborative interactions.
• Exercises autonomous judgment in working with staff/faculty to enable high-quality care.
• Identifies and executes best practice workflows, collaborating with the practice team to promote the achievement of high-quality health care metrics.
• Works in partnership with providers to determine action plans for performance improvement based on own data-driven recommendations.
• Other duties as assigned.

Benefits

• The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree