What are the responsibilities and job description for the Medical assistant position at Rally?
18 days of PTO & Closed On Major Holidays MA Certification Fee Reimbursement K Match Monday through Friday 8am to 5pm Opportunities at WellMed, part of the Optum family of businesses.
We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health.
With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring.
Connecting. Growing together. 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.
The Clinical Quality Coordinator will have a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant.
Primary Responsibilities : 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 Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice Communicate scheduling challenges or trends that may negatively impact quality outcomes 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 Activities may include data collection, data entry, quality monitoring, health plan / WellMed form submission and chart collection activities Assists with local IRR audits Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS / Star measures Support chart chase process by requesting records from provider’s offices as needed Maintains education / knowledge base of HEDIS / STARs Performs all other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications : Medical Assistant certification Current BLS certification 3 years of healthcare experience to include experience in a managed care setting 3 years of experience with data analysis / quality chart reviews.
We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Last updated : 2024-07-08
