Population Health Specialist

Population Health Specialist

Requirements

• Knowledge of Electronic Medical Record systems
• Knowledge of diagnosis codes, CPT codes, and medical terminology
• Ability to learn and use new software and data tools
• Excellent written and oral communication skills
• Great customer service skills
• Teamwork skills
• Independent problem-solving skills
• Self-motivated and self-managed
• Proficient in Microsoft Office Suite

Responsibilities

• Uses multiple Electronic Medical Record (EMR) platforms proficiently
• Conducts clinical quality audits by collecting and organizing data
• Reviews outpatient medical records, hospital records, clinical lab, and pharmacy records
• Performs attestations to improve quality metrics
• Performs outreach to external partners to coordinate timely receipt of care for patients
• Provides valuable information to external facing partners in support of improving clinical quality measures and patient care through various reports used in educational forums
• Identifies opportunities for improvement and share suggestions with leadership, coaching team, or practices
• Provides support with audit appeals research
• Responds to practice inquiries in a timely and accurate manner
• Maintains confidentiality and ensures compliance with HIPAA regulations
• Other duties as assigned

Preferred Qualifications

• High School diploma/GED, associate or bachelor’s degree preferred
• 1-3 years’ experience as a Medical Assistant, Medical Records Technician, or Referral Coordinator
• 1-3 years’ experience working with medical records and/or patients in a healthcare setting
• Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures