Health Data Coordinator

POSTING DATE: June 25, 2024

POSITION: Health Data Coordinator

DEPARTMENT: Clinical Services

POSITION SUMMARY:

Assists the Clinical Services Department with data management, clinical program development, and compliance with regulatory and accrediting standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.

• Performs all assigned tasks in accordance with UPHP plans, policies and procedures, National Committee for Quality Assurance (NCQA) standards, and all regulatory standards and contractual requirements.

• Collaborates with internal health plan staff to define data analysis projects, identify appropriate data sources, and develop meaningful and actionable output.

• Organizes, sorts, and filters data to distinguish patterns and recognize trends.

• Develops and maintains data preparation and validation routines; reviews output to ensure the accuracy and validity of presented information.

• Assures resolution of identified problems in clinical data in conjunction with the medical director, director of population health, clinical services managers, clinical coordinators, and the Information Systems (IS) department.

• Serves as a super user for quality data and population health web-based applications, providing ongoing support and training for internal and external end-users.

• Attends educational seminars as required; serves on committees and participates in workgroups as required.

• Manages specific assigned quality-related projects and/or programs within the clinical services department.

• Maintains up-to-date written documentation of all processes and procedures; logs all work performed as appropriate.

• Prepares presentations, charts, graphs, and tables to support clinical services reporting requirements.

• Works in collaboration with Marketing/Strategic Initiatives to ensure appropriate formatting and presentation of reporting documents.

• Demonstrates general knowledge of NCQA standards and Healthcare Effectiveness Data Information Set (HEDIS) measures as they relate to clinical reporting.

• Attends and participates in organizational, departmental, and clinical team meetings, as well as with external entities when required.

• Maintains confidentiality of client data.

• Performs other related duties as assigned or requested.

POSITION QUALIFICATIONS:

Education:

Minimum:

Associate degree in health information technology, health information management, computer information systems, or related

Preferred:

Bachelor's degree in health information technology, health information management, computer information systems, or related

Experience:

Minimum:

One (1) year of experience in an information systems or technology-related environment

Preferred:

Three (3) to five (5) years working in a healthcare setting with progressive experience in data reporting and project management

Required Skills:

• Keyboarding proficiency and advanced knowledge of Microsoft Office (Word, Excel, Access, and PowerPoint) including proficiency in database management

• Excellent human relation and oral/written communication

• Excellent project management and organizational abilities

• Ability to work independently

• Ability to adhere to deadlines and manage multiple tasks effectively

• Ability to be flexible and adaptable to changing priorities

Desired Skills:

• Knowledge of terminology and concepts used in the healthcare and health insurance industry

• Knowledge of accounting and health-care software systems/applications

• Knowledge of claims and coding and billing methodologies

• Knowledge of clinical HEDIS, NCQA, and CMS regulations

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.

Physical Requirements:

[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:

• Ability to access departmental files

• Ability to enter and access information from a computer

• Ability to access all areas of the UPHP offices

• Moderate physical effort (lift/carry up to 25 pounds)

• Occasionally lifts supplies/equipment

• Occasional reaching, stooping, bending, kneeling, crouching

• Prolonged periods of sitting

• Occasional prolonged standing

• Manual dexterity and mobility

Working Conditions:

• Works in office conditions, but occasional travel may be required

• Subject to many interruptions

• Exposure to situations requiring exceptional interpersonal skills or high productivity

• Occasionally subjected to irregular hours