Quality Medical Assistant - Dallas, TX
Dallas, Texas
Employer: UnitedHealth Group
Industry: Medical & Clinical Operations
Salary: Competitive
Job type: Full-Time
18 days of PTO & Closed On Major Holidays
MA Certification Fee Reimbursement - 401K Match
Monday through Friday 8am to 5pm
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records. The Clinical Quality Coordinator will have a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant.
Primary Responsibilities:
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
Physical and Mental Requirements:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
MA Certification Fee Reimbursement - 401K Match
Monday through Friday 8am to 5pm
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records. The Clinical Quality Coordinator will have a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant.
Primary Responsibilities:
- Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff
- Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care
- Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice
- Communicate scheduling challenges or trends that may negatively impact quality outcomes
- Track and trend barriers/challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices
- Activities may include data collection, data entry, quality monitoring, health plan/WellMed form submission and chart collection activities
- Assists with local IRR audits
- Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures
- Support chart chase process by requesting records from provider's offices as needed
- Maintains education/knowledge base of HEDIS/STARs
- Performs all other related duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Medical Assistant certification
- Current BLS certification
- 3+ years of healthcare experience to include experience in a managed care setting
- 3+ years of experience with data analysis/quality chart reviews. Must be able to review data and provide recommendations for improvement
- 2+ years as a Certified Medical Assistant
- Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets
- Expert in computer literacy in electronic health record
- Knowledge of medical terminology
- Proven ability to mentor others
- This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease
Preferred Qualifications:
- Licensed Vocational/Registered Nurse, or Certified Professional Coder
- 2+ years of college, in pursuance of a Bachelor's or Associate's degree
- 2+ years of experience working with HEDIS/STAR measures
- 1+ years of HEDIS/STAR experience or participation with similar regulatory reporting
- ICD 9/10 and CPT coding experience
- Experience working in a physician, provider, and/or medical office
- EMR and HEDIS knowledge and experience
Physical and Mental Requirements:
- Ability to lift up to 10 pounds
- Ability to push or pull heavy objects using up to 50 pounds of force
- Ability to stand for extended periods of time
- Ability to use fine motor skills to operate equipment and/or machinery
- Ability to receive and comprehend instructions verbally and/or in writing
- Ability to use logical reasoning for simple and complex problem solving
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Created: 2024-05-08
Reference: 2216718
Country: United States
State: Texas
City: Dallas
ZIP: 75287
About UnitedHealth Group
Founded in: 1977
Number of Employees: 300000
Website: https://www.unitedhealthgroup.com/
Career site: https://careers.unitedhealthgroup.com/
Similar jobs:
-
Certified Medical Office Assistant - Sub-Specialty Oncology Clinic - Simmons Cancer Center
UT Southwestern Medical Center in Dallas, Texas -
Medical Assistant Non Certified, Specialty Neurology - Full time
CHRISTUS Health in Beaumont, Texas -
Certified Medical Assistant (CMA)
The Harris Center for Mental Health and IDD in Houston, Texas -
Certified Medical Assistant / CMA Family Medicine
Ardent Health Services in Quitman, Texas -
Submission for the position: Certified Medical Assistant - (Job Number: 24004186)
Baylor Scott & White Healthcare in Waco, Texas -
Certified Medical Assistant
CHI in Houston, Texas -
Certified Medical Assistant/CMA - Heart & Vascular Specialists
Texas Health Resources in Denton, Texas -
CMA, Certified Medical Assistant - Live Oak Primary Clinic
CHRISTUS Health in San Marcos, Texas -
Clinical - Medical Assistant
All Medical Personnel in Minneapolis, Texas -
Medical Assistant
HCA Healthcare in Denton, Texas -
Medical Assistant WellMed at NW 410
UnitedHealth Group in San Antonio, Texas -
Medical Support Assistant (OA)
Military Treatment Facilities under DHA in Fort Sam Houston, Texas -
CMA, Certified Medical Assistant - Primary Family Medicine Clinic
CHRISTUS Health in Wimberley, Texas -
Clinical - Medical Assistant
All Medical Personnel in Northern Virginia, Texas -
Multi-Tech Medical Assistant
HCA Healthcare in El Paso, Texas -
Clinical - Medical Assistant
All Medical Personnel in Cleveland Region, Texas -
Submission for the position: Certified Medical Assistant - (Job Number: 24001032)
Baylor Scott & White Healthcare in Waxahachie, Texas -
Certified Medical Assistant/CMA - Primary Care - FullTime, Day Float
Texas Health Resources in Plano, Texas -
Medical Assistant WellMed at Cabaniss Field
UnitedHealth Group in Corpus Christi, Texas -
Submission for the position: Certified Medical Assistant - (Job Number: 24006455)
Baylor Scott & White Healthcare in Waco, Texas