Here at Physician Partners, we are ACTIVELY shaping the future of healthcare and ensuring quality care for our patients/members. How are we doing this? We are keeping our primary care physicians accountable for their documentation and coding techniques to ensure proper diagnosis and treatment plans that will ultimately leverage our member's ability to successfully manage their own health profile! We are facilitating preventative care to pave the way to BETTER HEALTH!
THE WORK
We will teach you how to drive documentation and coding improvement initiatives, develop recommendations for risk adjustment remediation plans and create tools and databases to capture relevant data for assigned markets; supporting specific goals and initiatives. You will work collaboratively with each regional assigned team and their leadership to achieve these goals. You will be supported by MD and RN Provider Educators.
Our Quality Analysts (QA) directly support the Quality Operations Team and Physician Partners LLC goals. Some of our responsibilities include and are not limited to:
• Provide support to an assigned market of medical offices to assist and ensure all members get the best possible care
• Working collaboratively with VIPcare (as applicable) and Physician Partners LLC Teams to support success of Physician Partners LLC programs
• Responsible for building and maintaining beneficial relationships with assigned market teams • Work collaboratively with internal Field Operations team to establish (remotely from central office)
• Leverage quality tools to understand and communicate patient statuses to medical offices (in collaboration with Field Ops or independently as guided by Quality Team Manager) • Successfully communicate the following to designated office champions (via recorded video conferences): • Patient statuses, verification that 5 Star checklist and progress note has been submitted and that all conditions have been satisfied per documentation guidelines
• Prepared to participate in creation of the pre-recorded [standardized] presentations delivered to medical office champions (OC) regarding Quality workflows, tools and programs
• Demonstrate successful navigation, maintenance and use of software applications relevant to team goals (ie: Google Suite, Microsoft and proprietary tools)
• Maintain and facilitate recurring QA/OC huddle with assigned medical offices based on group membership frequency expectation
EDUCATION/SKILL REQUIREMENTS
• High School Diploma / GED (or higher) or equivalent work experience.
• Medical Assistant, CMA, CNA or MEDIC/prior Combat Medic experience a plus.
• Experienced in Excel, Google Sheets
• Demonstrated STRONG organizational skills and attention to detail
• Ability to thrive in a fast-paced environment
• Demonstrated excellent written and verbal skills
• Ability to be adaptable and flexible to the ever-changing regulations of healthcare
• Demonstrated ability to problem solve and think critically
COMPENSATION & BENEFITS
• Base salary with bonus eligibility
• Medical, dental, vision, disability and life
• 401k, with employer match
• Paid time off
• Paid holidays
Mid Level Employment Type: Full-Time