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Job Details

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About This Employer


Connecting employers with the talent they need + connecting healthcare professionals with the jobs they’ll love

Headquartered in New York City with 9 additional offices in New York, New Jersey, Connecticut, Massachusetts, and Florida, The Execu|Search Group specializes in the placement of healthcare professionals in full-time and temporary roles. From Registered Nursing positions to Medical Directors and Hospital Administrators, we work with some of the best healthcare facilities and are focused on connecting candidates with jobs that are tailored to their unique qualifications.  Our Health Services recruiters have achieved the Gold Seal of Approval™ for healthcare staffing services from The Joint Commission, which recognizes our dedication to providing our clients with qualified healthcare professionals.


The Execu|Search Group

CITY :

NEW YORK

STATE :

NY

COUNTRY :

USA

ZIP CODE :

10001

JOB ID NUMBER :

U1011412

POSTED :

10/13/2016

Quality Practice Advisor (CCS)


The Execu|Search Group


POSITION TYPE:  Temporary / Consulting

JOB SUMMARY:


Quality Practice Advisor (CCS)
Quality Practice Advisor (CCS)
Location: New York, NY
Salary: $37-$44 per hour
Experience: 2.0 year(s)
Job Type: Temporary / Consulting
Job ID: U1011412
 
   
About the Opportunity

A recognized healthcare facility located in Manhattan is actively seeking a Certified Coding Specialist (CCS) for a promising opportunity on their staff as a Quality Practice Advisor. In this role, the Quality Practice Advisor educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Apply today!

Company Description

Healthcare Facility

Job Description

The Quality Practice Advisor (CCS):

  • Advises and educates large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding
  • Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement
  • Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters)
  • Delivers provider specific metrics and coach providers on gap closing opportunities
  • Identifies specific practice needs where the facility can provide support
  • Develops, enhances and maintains provider clinical relationship across product lines
  • Defines gaps in the facility's service relationship with providers and facilitate resolution
  • Leads and/or supports collaborative business partnerships, elicit client understanding and insight to advise and make recommendations
  • Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education
Required Skills
  • Bachelor's Degree in Healthcare, Public Health, Psychology, Health Administration, or related field (Required) or equivalent work experience of 3 + years directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement
  • 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff
  • 1+ year of experience in Managed Care experience
  • Coding Specialist certification
  • Demonstrated interpersonal/verbal communication skills
  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding
  • Ability to work in a fast-paced environment with changing priorities
  • Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
  • Ability to implement process improvements
Desired Skills
  • Master's Degree in Healthcare, Public Health, Health Administration or related field
  • Health Care Quality and Management (HCQM)
  • Certified Healthcare Professional (CHP)
  • Certified Professional in Healthcare Quality (CPHQ)