Quality Improvement Specialist
Kforce
Kforce has a client that is seeking a Quality Improvement Specialist in Saint Louis, MO.
Day to day responsibilities of this the role and a description of the project:
* The non-clinical staff will review medical records to determine if they meet minimum requirements for HEDIS measures and collect data
* The Quality Improvement Specialist will contact provider offices/medical groups to obtain missing medical records to complete the audit process
* Heavy chart monitoring and auditing of medical records
* Monitor the production of quality results reporting; analyze, track and trend the reporting results and report them to management
* Formulate and prepare ad-hoc and additional reporting requirements
* Recommend, develop, and implement quality improvement plans with management
* Train providers and staff in methodologies and tools of continuous quality improvement
* Prepare for and participate in meetings with State agencies, providers, and stakeholders
* Perform audits on to meet state and internal requirements
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