Quality Data Collection Specialist

Franciscan Alliance • Lafayette, IN

330d

About The Position

The Quality Data Collection Specialist plays a crucial role in monitoring and analyzing data to support ongoing clinical excellence. This position is essential for maintaining and improving patient care outcomes. The specialist will be responsible for identifying care gaps, entering data, and following up to ensure that these gaps are addressed during provider appointments. The role requires up-to-date knowledge of healthcare guidelines and a focus on improving patient care through data management.

Requirements

• High School Diploma/GED required.
• 1 year Clinical Experience preferred.
• 1 year Medical Assistant preferred.
• Strong communication skills.
• Knowledge of Medicare and commercial insurance.
• Knowledge of electronic health records.

Responsibilities

• Identify and validate care gaps in provider appointments.
• Enter gap in care in upcoming appointment note to provider.
• Follow up review after appointment to confirm gaps in care closed during visit.
• Assist with closing quality gaps in care.
• Review gaps in care report and validate care gaps by using health plan quality reports, Epic reports and health plan systems (i.e. Availity, Health BI).
• Monitor gap closure by utilizing an excel work list.
• Assist with year-end and annual quality audit.
• Assist with coordinating PCP visits.
• Outreach to members/beneficiaries to close gaps in care.
• Mail educational information to members/beneficiaries regarding preventive care quality metrics.
• Educate members/beneficiaries regarding preventive care and document as an encounter in Epic.
• Assist with other focused quality initiatives.

What This Job Offers

• Job Type: Part-time
• Industry: Hospitals
• Education Level: High school or GED