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Physician / Internal Medicine / Texas / Locum Or Permanent / Clinical Quality Coordinator USMD Internal Medicine Job
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Intern
- This position is responsible for the coordination of HEDIS and STARs data gathering process.
- This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records.
- Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff
- Review medical records for data collection, data entry, and quality monitoring including health plan / WellMed form submission and chart collection activities that close gaps in care
- Track and trend barriers/challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices
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