Quality Review Abstractor

OverviewThis position is hybrid in-office and work from home.The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.The Arizona Care Network (ACN) is a clinically integrated physician network is a Dignity Health and Abrazo Health physician collaboration.ResponsibilitiesThis position is hybrid in-office and work from home.The Arizona Care Network (ACN) is a clinically integrated physician network is a Dignity Health and Abrazo Health physician collaboration. The Quality Data Abstractor is an employee of Dignity Health Management Services Organization (Dignity Health MSO).Position Summary:The Quality Data Abstractor supports the Clinical Performance department by abstracting clinical data from medical records (paper and electronic) to ensure compliance with quality measures like HEDIS. This role involves making outreach calls and texts to assist members in scheduling medical appointments, closing care gaps, conducting medical records reviews, and performing payer audits throughout the year. The position plays a key role in enhancing the organization's overall quality improvement initiatives.Responsibilities may include:

Gains clear understanding of criteria for compliance with ACN clinical quality measures (numerator and denominator).

Enters patient demographics into appropriate data collection tools. Ensures a high degree of accuracy of information entered.

From measures identified in data collection tool, reviews chart for applicable documentation to support quality measures. Gathers data from patient charts and record results via data collection tool.

Works with practice physicians and clinical staff to set abstraction appointments, pulls charts according to the protocol and arranges for all necessary tools to conduct abstractions.

Collaborates with Data Analytics team to ensure accurate reporting of abstracted information from quality measures.

Provides accurate and prompt post-assessment findings to the Clinical Performance Department for review and follow- up.

Identifies opportunities for the Clinical Performance Consultants to assist providers and staff with documentation, workflow, and process improvements to ensure clinical quality.

Aggregates summary data, tracks statistics, conducts analysis and completes standard reports.

QualificationsMinimum Qualifications:

High school diploma or equivalent required.

Knowledge of general office procedures and Microsoft Office applications. Excellent written and oral communication and interpersonal skills, required.

Computer proficiency as well as knowledge of database entry. Strong organizational skills, required.

Must be able to communicate clearly and concisely with all levels of individuals, sometimes in stressful situations.

Preferred Qualifications:

Minimum two (2) years experience charting in medical records and/or chart data abstracting experience, preferred.

HEDIS/GPRO experience strongly desired.

Pay Range$17.93 - $24.66 /hourWe are an equal opportunity/affirmative action employer.