Quality Coordinator I - Measurement Improvement & Data Operations

VALLEY HEALTH CARE INC•Elkins, WV

4d•Hybrid

About The Position

Valley Health Care, Inc. (VHC) is committed to providing outstanding patient care. The Quality Coordinator I – Measurement Improvement & Data Operations supports this mission by assisting the Clinical Quality Manager in advancing organizational quality initiatives and ensuring the delivery of safe, effective, affordable, and patient-centered care. This position focuses on quality data management, performance measurement, and care gap closure while supporting quality improvement initiatives across the organization. This position is responsible for accurate entry, extraction, analysis, and reporting of quality data, medical records, and related documentation. Through ongoing monitoring of quality metrics and performance outcomes, this role helps identify opportunities for improvement and supports VHC’s strategic quality and compliance goals.

Requirements

High school diploma or GED
2 years of healthcare experience preferred
Experience in quality reporting, data analysis, or EHR systems preferred
Strong organizational and analytical skills
Proficient in Excel and data management tools
Ability to follow HIPAA guidelines
Understanding of policies and procedures regarding medical records put in place by the Federal Government, Medicaid, Medicare, and WV Behavioral Health Laws put forth by the WV Department of Health and Human Resources.
Knowledge of basic computer software (MS Office – Word, Excel, and Outlook) and the willingness and ability to learn electronic medical records software.
Must demonstrate the ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret various instructions furnished in written, oral, diagram, or schedule form.
An essential element is the ability to work and interact effectively and positively with other staff members to build and enhance teamwork in the VHC organization; team engagement is necessary to be successful in this position.
A demonstrated work record showing good attendance, punctuality, dependability, and the ability to collaborate well with supervisors and coworkers as part of a team effort is essential.
A medical office setting is an environment that requires the ability to relate to all types of people while always maintaining a professional demeanor.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
The ability to write routine reports and correspondence.
The ability to speak effectively to patients or employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Must be able to read and interpret medical and work environment-related documents involving patient care, program descriptions, government regulations, and VHC policy and procedures.
Must be able to demonstrate an understanding and sensitivity to cultural differences and needs of VHC patients and be able to respond appropriately to all people regardless of race, ethnicity, language, age, sex or sexual orientation, religion, disability, economic standing, etc.

Nice To Haves

Up to 25% travel

Responsibilities

Monitor UDS, HEDIS, HRSA, and payer quality measures for performance gaps
Generate patient lists for needed services and coordinate outreach
Collaborate with scheduling staff to arrange appointments
Conduct patient outreach and document attempts in the EHR
Track measure improvement progress and outcomes
Coordinates scheduling and logistics for mobile health units to ensure efficient service delivery
Run routine and ad hoc quality reports from AZARA
Extract, validate, and reconcile EHR data for reporting
Identify documentation gaps and provide feedback to clinical teams
Maintain dashboards, spreadsheets, registries, and audit tools
Accurately uploads quality measure closure information and documentation into payer systems to ensure timely reporting and compliance
Support HRSA, UDS, state, and payer submissions
Support NCQA standards and accreditation.
Contributes to ACO-related data collection, reporting, and care coordination.
Participate in chart audits, PDSA cycles, and quality improvement projects
Maintain documentation for compliance and audit readiness