Fulltime, 40 Hours per week, Day shift
The ACO PDC Team Patient Data Coordinator (PDC), works in collaboration with Dartmouth-Hitchcock Health's (D-HH) primary care practices to support the execution of preventive care services and chronic disease treatment through the assessment of clinical quality data. The PDC is responsible for abstracting and collecting clinical data from various sources in an effort to identify opportunities to close gaps in care and enhance the overall health of D-HH's patient population as well as our ability to meet value-based payment and performance activity targets through enhanced patient outcomes.
1.Reviews and enters available ADT data to triage patients to the appropriate Transitional Care Coordination team for next steps.
2.Extracts and validates gaps in care for identified patient populations by comparing electronic medical record (EMR) data against claims data using reporting applications and Excel formulas to support the reporting and monitoring of quality performance.
3.Abstracts clinical documentation from patient's electronic medical record to assist in the coordination of quality measure attestations, appeals and exclusions.
4.Outreaches to local specialist offices, labs and other vendors to obtain finalized results using fax and/or phone calls.
5.Validates and updates patient's information to ensure accurate EMR data and patient panel assignments.
6.Directly engages patients through patient portal messaging, phone calls and/or mailings in an effort to close gaps in care as needed.
7.Participates in departmental and/or interdepartmental meetings, huddles and quality improvement activities as needed.
8.Collaborates with team to track and share the quality measure performance against goals, escalating any issues in a timely manner.
9.Monitors dashboards, prepares reports and recommends improvements to leadership with regard to trends in quality metrics.
10. Formats data from multiple sources using Excel for disbursement, review and/or decision making by ACO management.
11. Provides education on gaps in care, patient registries, measure definitions, care capture in the electronic medical record, risk contracts, etc. to team members and practice staff as needed.
Performs other duties as required or assigned.
Associate's degree with one year of applicable experience in either a medical practice or managed care or the equivalent in education and experience required.
Strong knowledge in Microsoft Office applications including Word, Excel, Outlook and PowerPoint required.
Proficiency in medical terminology required.
Customer service experience required.
Experience in supporting clinical quality programs e.g. HEDIS, Care Coordination or Chronic Disease Management.
Current or previous Medical Assistant or Nursing Assistant certification preferred, but not required.
Ability produce and do simple analysis of basic quality measure reporting.
Ability to participate in role development and adapt to role changes as they evolve.
Excellent interpersonal, customer service and communication skills, both written and verbal.
Excellent time management and organizational skills.
Ability to work independently as well as in a team environment.