HEDIS Coordinator (Remote Option-NC)

Partners Behavioral Health Management

Monroe (NC)

Hybrid

USD 33,000 - 65,000

Full time

2 days ago

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Benefits offered by this job

Insurance

Leave (vacation and sick)

12 paid holidays

State retirement (pension plan)

401(k) Plan with employer match

Life and disability insurance

Wellness programs

Public Service Loan Forgiveness (PSLF)

Job summary

Partners Behavioral Health Management in Albemarle, NC, is hiring a HEDIS Coordinator to ensure compliance with HEDIS standards, support quality improvement, and coordinate data across departments.

You will assist Quality Advisors, manage data for HEDIS and state reporting, train staff, and prepare for PMV and HEDIS audits, contributing to better patient outcomes.

Remote/hybrid option; available for any of Partners' NC locations (or within 40 miles of the NC border).

Qualifications

High School Diploma or equivalent.
3–5 years of experience in healthcare administration, medical records, or healthcare data management.
2 years of experience with healthcare quality measures or clinical data reporting.
Experience with HEDIS measures, healthcare auditing, or quality improvement initiatives.
Demonstrated experience coordinating projects and managing deadlines in a healthcare setting.

Responsibilities

Compliance Oversight: ensure adherence to HEDIS standards; oversee data collection, analysis, and reporting.
Data Management: manage collection, validation, and aggregation of data for HEDIS and state reporting.
Quality Improvement Support: identify opportunities for improvement based on data analysis.
Documentation and Coding Support: guide providers on proper documentation to meet HEDIS requirements.
Performance Monitoring: track metrics and report findings to stakeholders.
Training and Education: conduct training on HEDIS measures and data collection.
Interdepartmental Coordination: liaise between departments for HEDIS reporting.
Audit Preparation: assist in PMV and HEDIS audits; address findings.
Continuous Improvement: streamline processes and improve data accuracy.

Skills

Analytical skills

Communication skills

Organizational skills

Attention to detail

Problem-solving

Collaboration

Adaptability

Time management

Customer service orientation

Results-driven

Education

High School Diploma or equivalent

Tools

Microsoft Excel

Electronic Health Record (EHR) systems

SQL

SAS

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Social Services Albemarle, NC, US

2 days ago Requisition ID: 2476

Salary Range: $52,394.76 To $65,493.45 Annually

Competitive Compensation & Benefits Package!

Medical, dental, and vision insurance with low deductible/low cost health plan

Generous vacation and sick time accrual

12 paid holidays

State Retirement (pension plan)

401(k) Plan with employer match

Company paid life and disability insurance

Wellness Programs

Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details.

Office Location: Remote/hybrid Option; Available for any of Partners' NC locations (or within 40 miles of NC border)

Primary Purpose of Position

The HEDIS Coordinator's primary role is to ensure compliance with HEDIS standards, support quality improvement initiatives, and facilitate communication between departments. They assist Quality Advisors by providing essential data and coordinating appointments related to quality improvement activities. Overall, the HEDIS Coordinator plays a crucial role in enhancing patient outcomes and organizational success through meticulous data management and effective communication.

Role and Responsibilities

1. Compliance Oversight: Ensuring adherence to HEDIS standards by overseeing data collection, analysis, and reporting processes. This involves staying updated on HEDIS measures, guidelines, and regulatory requirements

2. Data Management: Managing the collection, validation, and aggregation of data required for HEDIS and state reporting. This includes coordinating with internal departments and external stakeholders to gather necessary information.

3. Quality Improvement Support: Collaborating with Quality Improvement teams to identify opportunities for improvement based on HEDIS data analysis. Assisting in the development and implementation of quality improvement initiatives.

4. Documentation and Coding Support: Providing guidance to healthcare providers on proper documentation practices to accurately reflect patient care and meet HEDIS requirements. Assisting in the interpretation and application of coding guidelines related to HEDIS measures.

5. Performance Monitoring: Monitoring performance metrics related to HEDIS measures and identifying areas of concern or improvement. Tracking progress towards goals and reporting findings to relevant stakeholders.

6. Training and Education: Conducting training sessions or workshops to educate staff and providers on HEDIS measures, data collection methods, and documentation requirements. Providing ongoing support and guidance as needed.

7. Interdepartmental Coordination: Acting as a liaison between different departments within the organization involved in HEDIS reporting and quality improvement efforts. Facilitating communication and collaboration to ensure alignment of goals and strategies.

8. Audit Preparation: Assisting in the preparation for the annual PMV and HEDIS audits by ensuring all necessary documentation and data are accurate, complete, and readily accessible. Participating in audit processes and addressing any findings or recommendations.

9. Continuous Improvement: Continuously evaluating processes and procedures related to HEDIS reporting and quality improvement. Identifying opportunities for streamlining operations, enhancing efficiency, and improving data accuracy.

Overall, the HEDIS Coordinator plays a critical role in ensuring the organization's compliance with HEDIS standards, driving quality improvement initiatives, and ultimately improving the quality of care delivered to patients. Their responsibilities span across data management, quality assurance, education, communication, and process improvement.

Knowledge, Skills and Abilities

Knowledge

1. In-depth understanding of Healthcare Effectiveness Data and Information Set (HEDIS) measures, including specifications, guidelines, and reporting requirements.

2. Knowledge of healthcare quality improvement principles, methodologies, and best practices.

3. Familiarity with medical coding systems (e.g., ICD-10, CPT) and healthcare documentation standards.

4. Understanding of regulatory requirements and compliance standards relevant to HEDIS reporting and quality improvement initiatives.

5. Knowledge of data collection, abstraction, and analysis techniques, including proficiency in data management tools and software used for HEDIS reporting.

Skills

1. Analytical skills: Ability to interpret complex data sets, identify trends, and draw meaningful conclusions to support quality improvement efforts.

2. Communication skills: Excellent verbal and written communication skills to effectively convey technical information, collaborate with stakeholders, and facilitate training sessions.

3. Organizational skills: Strong organizational and project management skills to coordinate HEDIS data collection, reporting, and quality improvement activities within established timelines.

4. Attention to detail: Meticulous attention to detail and accuracy in data collection, documentation, and reporting to ensure compliance with HEDIS standards.

5. Problem-solving skills: Ability to proactively identify issues, develop solutions, and implement corrective actions to address challenges encountered during the HEDIS reporting process.

Abilities

1. Collaboration: Ability to work collaboratively with cross-functional teams, healthcare providers, and external stakeholders to facilitate HEDIS data collection and quality improvement initiatives.

2. Adaptability: Flexibility to adapt to changing priorities, organizational dynamics, and evolving regulatory requirements related to HEDIS reporting.

3. Time management: Strong time management skills to effectively prioritize tasks, manage competing priorities, and meet deadlines in a fast-paced healthcare environment.

4. Customer service orientation: Ability to provide support and guidance to healthcare providers and internal stakeholders, demonstrating a commitment to customer service and quality improvement.

5. Results-driven: Ability to drive results and achieve measurable outcomes in HEDIS reporting and quality improvement initiatives, including improving performance on HEDIS measures and closing care gaps.

Education Required