Sunrise, FL, USA
8 days ago
Quality Improvement Specialist
Kforce has a client that is seeking a Quality Improvement Specialist in Sunrise, FL. Position Purpose: The Quality Improvement Specialist will support the development and maintenance of quality improvement related projects and reporting. The candidate will also respond to quality improvement inquiries. Day to Day Responsibilities of this Position and Description of Project: Provide administrative support to the Quality Department with Medical Record requests during the HEDIS Project including but not limited to: * Preparing and sending medical record requests to provider offices * Processing of records including separating pdfs and naming files * Outreaching to provider offices via phone or fax to request medical records * Navigating multiple computer systems to create record requests or upload medical records * Assisting with other administrative tasks related to the HEDIS project as needed * Heavy chart monitoring and auditing of medical records * Monitor the production of quality results reporting; Analyze, track and trend the reporting results and report them to management * Formulate and prepare ad-hoc and additional reporting requirements * Recommend, develop, and implement quality improvement plans with management * Train providers and staff in methodologies and tools of continuous quality improvement * Prepare for and participate in meetings with State agencies, providers, and stakeholders * Perform audits on to meet state and internal requirements
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