Quality Analyst (Outpatient)
About The Position
The Quality Analyst (Outpatient) conducts chart audits to monitor satisfaction of standard-of-care measures, contacts patients with pending expectations to schedule clinic appointments with their primary care providers, and tracks multiple quality measures related to improving patient care. The role supports quality improvement work in collaboration with Clinical Quality Nurse Managers and Quality Departments, maintains accurate patient documentation and contact tracking, and helps ensure outpatient orders and follow-up processes comply with applicable policies, procedures, legal requirements, and safety standards.
Requirements
- Associate’s/Technical Degree or equivalent combination of education and related experience.
Nice To Haves
- Bachelor's Degree.
- Three years' technical experience.
- National certification (ARMA) as a Registered Qualified Medical Assistant or national certification (AAMA) as a Certified Medical Assistant.
Responsibilities
- Conduct chart audits to monitor satisfaction of standard-of-care measures.
- Contact patients with pending expectations to schedule visits with their primary care providers.
- Track multiple quality measures related to improving patient care.
- Respond to internal and external customers' needs and expectations in a positive and exemplary manner, and provide information or appropriate resources for patient questions.
- Document accurately in patient medical records and accurately track patient contact.
- Collaborate with Clinical Quality Nurse Managers and Quality Departments on the development and implementation of quality improvement projects.
- Obtain and track multiple quality measures related to quality improvement, and participate in opportunities to improve patient care quality.
- Ensure outpatient orders are performed under physician direction and supervision according to current policies, procedures, legal requirements, and safety standards.
- Maintain working knowledge of HEDIS and other managed care and insurance standards.
- Identify and seek solutions for clinical problems and report them to affected departments, the Quality Manager, or the Director.
- Maintain a patient recall system, including a continuity-of-care log for lab tests, referrals, and transfers.
- Communicate patient needs effectively to providers and clinic staff.
- Perform other job-related duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
