Job Description

The Clinical Quality Coordinator works closely with the other team members of the Clinical Quality and Coding Department to close gap in care opportunities. Responsible for communicating and following through on patients in need of preventative health screenings, tests for managing chronic conditions, and patients in need of well visits to improve patient outcomes. The role involves collecting documentation from the electronic medical records to support gap closure, and performs medical record reviews in the field and remotely within the assigned physician practices. The Clinical Quality Coordinator will report to the Director, Quality.

Responsibilities

• Communicates effectively and professionally with physician offices, clinical facilities, and CMG staff to assist in various outreaches and program activities.
• Review charts and create alerts/triggers to highlight quality improvement performance opportunities.
• Perform data collection, data entry, and quality performance monitoring activities as applicable.
• Scan relevant components of the medical record to support reviews performed;
• Electronically download to data collection tools; upload scanned medical records;
• Interact with patients via telephone; scheduling appointments.
• Maintain confidentiality and adhere to HIPAA requirements.
• Other duties, as assigned.

Qualifications

• Work independently and efficiently in a hybrid in-office/remote work setting(s).

• Ability to multi-task and work under narrow timelines.

• Professional conduct and communication skills.

• Bachelor’s degree or Associate degree Preferred or relevant experience.

• 2+ years of Telephonic Customer Service experience

• 1+ years of experience in a healthcare background with medical terminology and familiarity of clinical issues

• 1+ years of working experience with Microsoft Word and Excel

• Reliable transportation, valid Insurance, with a valid and unrestricted Driver's License within the State of CT

• Preferred Qualifications:

• Bachelor’s degree in health-related field or direct experience in a healthcare industry role

• Experience working in a physician, provider, and/or medical office

• EMR (Electronic Medical Records) knowledge and experience

The hourly range for this role is $25-27/hr in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeteted at 10%.The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

All your information will be kept confidential according to EEO guidelines.

**Technical Requirements (for remote workers only, not applicable for onsite/in office work):**

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests likehttps://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.