Healthcare Quality Assurance/Quality Improvement Coordinator

First Choice Community Health Centers•Lillington, NC

About The Position

Responsible for supervision of the day-to-day operations of the performance improvement and risk management functions of the organization. He/she will assure that accurate and complete data is used to assess quality of services delivered, collaborate with leadership and clinicians to strategize, and monitor quality improvement modalities, and identify opportunities for minimizing risk in the delivery of services. Assist the organization in fulfilling its mission of providing high quality compassionate health care and implementing a culture of quality at all levels of the organization.

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s degree in a clinical specialty as a minimum, advance degree preferred. Minimum 3-5 years of experience in clinical quality and risk management activities.
Ability to read and comprehend written materials. Ability to write clearly and concisely. Ability to communicate effectively one-on-one or for small groups. Ability to make formal presentations to groups. Ability to communicate with patients and family members of various educational, socio-economic, and cultural backgrounds.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios and percents.
Ability to solve practical problems and utilize appropriate steps for problem resolution. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to exercise sound judgment.
Competency required in the areas of interpersonal communications, excellent verbal and written skills, and knowledgeable of Medicare and regulatory and credentialing criteria and standards. Knowledge of safety standards, spread of organisms, and the adult learning process. CPR certified.
Ability to operate all basic office machines and equipment. Ability to assess and visually present data using run charts, flow charts, scatter diagrams, control charts, histograms, decision matrices, etc. Ability to deal effectively with stress and to work under pressure. Ability to exercise flexibility in work schedule. Basic word processing and general computer skills. Computer skills to include proficiency with the use of Microsoft word, excel, publisher, PrintShop.

Responsibilities

To provide leadership and advice in the implementation of the organizational Quality Improvement/Quality Assurance Plan
To work with medical staff as well as accounting and medical coders to achieve maximum accuracy and completeness of coding for medical services provided
To assist the Chief Medical Officer in direction and implementation of the activities of the Quality and Safety Committee
To compile assessment of areas of maximum risk within the organization at least quarterly and recommend strategies for minimizing risk of adverse events
To communicate effectively with staff at all levels in initiatives involving quality improvement or minimization of risk
Serve as a local subject matter expert on electronic health record (EHR) and ancillary data infrastructure. Monitor clinical workflows and recommend process improvements to optimize clinical service delivery and related data capture
Provide timely consultation and training to both providers and staff that enhance the quality of care being provided and the accuracy of data being captured in the clinical documentation, coding and billing processes
Provides orientation to new staff members in the areas of Performance Improvement, OSHA, and Clinical Policies and Procedures
Accreditation: Recommend improvements to programs, policies and/or workflows to ensure PCMH status is maintained and advanced into the future
Quality: Partner with the Chief Medical Officer to regularly monitor all facets of FCCHC’s board-approved Quality Improvement / Quality Assurance Plan, including those specific clinical initiatives mandated by the Health Resources and Services Administration (HRSA), Center for Medicare and Medicaid Services (CMS) and contracted managed care organizations (MCO’s). Ensure that FCCHC providers are well informed of quality measures and well equipped to succeed in future value-based payment initiatives
Participates in other related activities affecting the clinic programs (e.g., grant application requirements, patient data analysis, committees, recruitment and orientation)
Complete the Uniform Data System and Federal Tort Claims Act on an annual basis based upon required due dates
Produce regular reports regarding quality indicators and other chart audit data. Preparations for Quality Assurance staff meetings by developing agendas, taking minutes and compiling and distributing packets to include preparation of the CMO’s Report to the Board of Directors
Audit charts on the use of various screening tools and as requested by the Chief Medical Officer
Risk: Oversee a portfolio of initiatives that collectively minimize FCCHC’s liability and malpractice risk exposure. Coordinate, schedule and/or deliver timely trainings on identified risk topics. Consult with Chief Financial Officer and insurance broker to leverage external training and resources that minimize risk. Serve as key member of FCCHC’s Quality and Safety Committee. Chairs committee in the absence of the Chief Medical Officer
Performs other necessary duties as required by the CMO to meet the goals of providing primary health care services