Astera-OneOncology
Quality Program Specialist
Astera-OneOncology, East Brunswick, New Jersey, United States, 08816
Quality Program Specialist
The Quality Program Specialist will be responsible for assisting in the administration of quality programs contracted with Astera and Solara, ensuring they remain fully updated on program guidelines, requirements, implementation and changes. Job Responsibility: Assesses and revises clinical workflows to improve quality metrics and reporting across the board. Maintains up-to-date knowledge of OncoEMR, Knowtex and other systems used for clinical documentation. Monitors for changes to annual measures, coding, documentation requirements, and quality program requirements. Works closely with clinical and billing team to ensure appropriate quality reporting levels and coding are maintained for all applicable specialties. Create performance dashboards using powerbi, one analytics or other platforms. Consistently monitors various quality program reporting and performance using the dashboard to identify metric outliers. Work with leadership, managers, and other clinical team members to improve metric outliers. Provide clinical documentation improvement education by reviewing samples of reports and clinical documentation. Develop, distribute, and educate quality program requirement materials. Assist in development and implementation of coding guidelines to meet quality program requirements. Qualifications: Bachelor's Degree: Preferred Three years' experience with healthcare EMR's, clinical documentation review experience, and coding Experience with MIPS or similar payer quality programs preferred Work Environment: Office / Hybrid within New Jersey Travel to all offices as necessary
The Quality Program Specialist will be responsible for assisting in the administration of quality programs contracted with Astera and Solara, ensuring they remain fully updated on program guidelines, requirements, implementation and changes. Job Responsibility: Assesses and revises clinical workflows to improve quality metrics and reporting across the board. Maintains up-to-date knowledge of OncoEMR, Knowtex and other systems used for clinical documentation. Monitors for changes to annual measures, coding, documentation requirements, and quality program requirements. Works closely with clinical and billing team to ensure appropriate quality reporting levels and coding are maintained for all applicable specialties. Create performance dashboards using powerbi, one analytics or other platforms. Consistently monitors various quality program reporting and performance using the dashboard to identify metric outliers. Work with leadership, managers, and other clinical team members to improve metric outliers. Provide clinical documentation improvement education by reviewing samples of reports and clinical documentation. Develop, distribute, and educate quality program requirement materials. Assist in development and implementation of coding guidelines to meet quality program requirements. Qualifications: Bachelor's Degree: Preferred Three years' experience with healthcare EMR's, clinical documentation review experience, and coding Experience with MIPS or similar payer quality programs preferred Work Environment: Office / Hybrid within New Jersey Travel to all offices as necessary