Quality Analyst (Outpatient)

Adventist Health

About The Position

Adventist Health Sonora is a healthcare provider serving Tuolumne and Calaveras counties and surrounding areas. The Quality Analyst (Outpatient) conducts chart audits to monitor compliance with standard-of-care measures, contacts patients with pending care expectations to schedule appointments with their primary care provider, and tracks multiple quality measures intended to improve patient care. The role works with clinical quality leaders and departments to support quality improvement projects and maintain patient follow-up processes.

Requirements

Associate’s or technical degree, or an equivalent combination of education and related experience.
All required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

Bachelor’s degree.
Three years of 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 and schedule them to be seen by their primary care provider.
Provide information or an appropriate resource in response to patient questions.
Document accurately in patient medical records and track patient contacts.
Collaborate with Clinical Quality Nurse Managers and Quality Departments on developing and implementing quality improvement projects.
Obtain and track multiple quality measures related to quality improvement.
Participate in opportunities to improve the quality of patient care.
Ensure outpatient orders are performed under physician direction and supervision in accordance with current policies, procedures, and legal 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 laboratory tests, referrals, and transfers.
Communicate patient needs effectively to providers and clinic staff.
Demonstrate concern for internal and external customers by responding positively and exemplarily to their needs and expectations.
Perform other job-related duties as assigned.