Quality Improvement Coordinator

Location: Jackson, TN, 38301

This position works directly with providers, in office, to identify coding, documentation, and specificity opportunities and to deliver ongoing, targeted provider education that improves documentation accuracy, coding specificity, and reimbursement. The Quality Improvement Coordinator rounds regularly with providers, reviews charts and coding/documentation/charge trend data to determine where education is needed, and coordinates with the clinic's third-party billing office to obtain and tailor provider-facing educational material.

This position also assembles and analyzes data for outcomes measurement and quality performance measures, identifies areas of improvement, and reports findings to the Director of Population Health and Business Office Manager.

To promote, support and actively participate in providing a high level of customer service demonstrated by following the 4 key principles to excellent customer satisfaction:

• Exceptional Customer Service - Make serving patients your number one priority. Understand what patients want and exceed their expectation to the best of your ability. Patients are not interruptions to your day, they are your job.
• Display a caring, positive attitude - Smile and treat patients with respect. Remember you are the face of The Jackson Clinic; you're on stage, play the part.
• Develop consistency - Delivering a high level of customer service day after day develops trust and loyalty.
• Be a team player - A team can "fly" much better together than alone. Do everything you can to promote the team and make everybody look good.

Reports directly to the assigned supervisor.

May assist with training of new employees and development of new processes within the department.

• Manual dexterity for the use of a keyboard, calculator, photocopier, printer, fax, phone, and coding books.
• Requires regular movement throughout clinic and provider work areas to round with and provide education to providers, as well as sitting at a computer for extended periods for data review, trend reporting, and repetitive data entry.
• Requires minimal stooping, bending, stretching from a seated position.
• Requires corrected vision and hearing to normal range.

Work is performed in a medical office and clinic environment, including time spent rounding with providers in clinical work areas and time spent at a computer reviewing charts, charges, and coding/documentation data. Frequent contact with providers, employees, and other department personnel is required.

• Rounds regularly with providers, in office, to review documentation and identify coding, specificity, and reimbursement opportunities in real time.
• Provides direct, one-on-one and small-group education to providers on documentation requirements, coding guidelines, and specificity to support accurate, compliant, and well-reimbursed billing.
• Coordinates with the clinic's third-party billing office to obtain available provider education material, and tailors that material to the needs of individual providers or specialties before delivering it.
• Monitors and reports on documentation deficiencies, missing or late charges, and provider or specialty trends in order to determine what education is needed and where it should be targeted.
• Performs routine documentation and charge reviews; reviews encounters against established documentation requirements and identifies encounters requiring additional review or provider follow-up.
• Audits and analyzes patient care data from medical records following criteria established by Medicare, coding guidelines, and assists with…