Job summary
Quality Data Entry SpecialistResponsible for supporting Clinical Quality processesHybrid role with 3 days in office and 2 days remote
Job seniority: entry level
Responsibilities
• Assist in reviewing medical records for Star/HEDIS opportunities• Review medical records for data collection and quality monitoring• Identify trends and strategies to support practices• Communicate challenges or trends that may impact quality outcomes• Track and trend barriers/challenges for better outcomes• Navigate multiple documentation systems for HEDIS/Star measures• Support quality initiatives and request medical records• Respond to Clinical Quality inquiries and conduct calls• Provide administrative support for special projects and reporting needs• Maintain education/knowledge base of HEDIS/Star measures
Requirements
• 1+ years of HEDIS/STAR experience or similar quality reporting• EMR and HEDIS knowledge and experience• Medical terminology knowledge base• Experience using Microsoft Office applications• Certified Medical Assistant training or certification preferred• 3+ years of experience with data analysis/quality chart reviews preferred• 2+ years of experience in a physician's clinic or hospital preferred• Bilingual language proficiency (English/Spanish) preferred• Ability to work independently and maintain professionalism• Ability to maintain strict confidentiality and adhere to policies
Key Skills Needed
• HEDIS/STAR experience or similar quality reporting• EMR and HEDIS knowledge• Medical terminology• Microsoft Office applications• Data analysis/quality chart reviews• Experience in a medical care setting• Bilingual language proficiency (English/Spanish)• Ability to work independently and maintain professionalism• Ability to maintain strict confidentiality and adhere to policies