UnityPoint Health

Quality Management Clerk

Requisition ID
2021-100692
Category
Administrative and Clerical
Location
US-IL-Moline
Address
4600 3rd St
Affiliate
6020 UnityPoint Health QC Trinity
City
Moline
Department
Eastern IA MH/DS Region- RYC
State
IL
FTE
1.0
FLSA
Non-Exempt
Scheduled Hours/Shift
1st
Work Type (Portal Searching)
Full Time Benefits

Overview

Under the general direction of the department manager, performs concurrent and retrospective reviews of medical records (electronic) for all programs, collects and compiles statistical information for the database, assists in analysis, and prepares reports and graphs.

 

 

COVID-19 and Flu Vaccination Requirement: It is required to be vaccinated for COVID-19 and Influenza. Exemption requests based on medical or religious reasons may be submitted, but must be approved for active employment. 

 

Why UnityPoint Health?

  • Culture – At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
  • Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
  • Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
  • Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
  • Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

 

Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.unitypoint.org

Responsibilities

Service Quality Indicators

·       Performs concurrent and retrospective review of medical records (electronic).

 

 

Resource Enhancement

·       Responsible for maintaining knowledge of the definitions of terms and applying this knowledge in collection data.  Collects statistical data for the database and assists in creating and monitoring processes for obtaining accurate clinical data.  Reviews and analyzes data for completeness and accuracy prior to entry into the database.  Compiles statistical and clinical data, prepares graphs and reports showing trend analysis.  Enters data into reports and scorecards as required.  Coordinates and maintains flow of data collection worksheets and reports.

 

Performance Improvement

·       Assists in problem-solving through Performance Improvement processes.  Assures compliance with Rule 132, HIPAA, and 42 CFR.

 

 

Basic UPH Performance Criteria   

·       Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

·       Demonstrates ability to meet business needs of department with regular, reliable attendance.

·       Employee maintains current licenses and/or certifications required for the position.

·       Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

·       Completes all annual education and competency requirements within the calendar year.

·       Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.  Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.

 

Qualifications

QUALIFICATIONS:

 

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education:

 

 

 

High school graduate or equivalent required. Experience in quality management/resource utilization/research preferred. Behavioral health related experience preferred. Formal training in basic computer operations, to include Microsoft Office products, preferred.

 

Bachelors’ Degree preferred. 

Experience:

 

 

 

 

Experience in quality management/resource utilization/research.  Formal training in basic computer operations, to include Microsoft Office products.

 

Behavioral health related experience preferred.

License(s)/Certification(s):

 

 

 

 

Valid driver’s license when driving any vehicle for work-related reasons.

 

Knowledge/Skills/Abilities:

 

 

 

 

Ability to work well under mental pressure and maintain focused on assigned tasks.  Good written and verbal communication skills.  Ability to work effectively around many distractions.  Good analytical skills to gather data, identify problems and assist in problem-solving.  Knowledge of medical terminology.  Detail oriented, organized and the ability to use time management skills.

 

 

Other:

 

 

 

Use of usual and customary equipment used to perform essential functions of the position.

 

 

 

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