Incentive Coordinator - Canton Potsdam Hospital
The Incentive Coordinator ensures quality health care by analyzing, implementing and evaluating health care delivery processes directly related to the Accountable Care Organization (ACO), Patient-Centered Medical Home (PCMH) and other incentive based programs such as Insurances, Meaningful Use and MACRA. Will be responsible for coordinating data collection with various departments regarding managed care data collection. Abstracts clinical information from paper or electronic medical record and populates data collection tool to support compliance with quality measures for our Medicare, commercial and/or other pay-for-performance initiatives. Assists with facilitation and implementation of Patient-Centered Medical Home standards.
LOCATION: Canton Potsdam Hospital
DEPARTMENT: Physician Practice Management
SCHEDULE: 8hr shifts, days
Associate Degree in Business Management, Healthcare Management or other relevant field required.
Bachelor’s Degree in Health Services Administration, Business Administration or other related field preferred.
Project management certification desirable.
Patient-Centered Medical Home Content Expert Certification preferred.
Three years prior work in managing Incentive Programs preferred.
Experience navigating through patient information in a paper and electronic medical application in an ambulatory clinical back office setting.
Medical billing and coding experience is preferred.
Coordination of payer quality programs and incentives and development of action plans to ensure practice processes are in place to capture available monies.
Participates, in a collaborative fashion, within the PPM Quality Improvement Team.
Routinely reviews National Committee for Quality Assurance guidelines and policies as it relates to program requirements of the NYS PCMH.
Gathers and reviews data from PCMH Committee members for sustaining and/or renewing NCQA recognized health centers.
Works with all levels to ensure all concepts of the PCMH are implemented properly in the health centers.
Abstracts clinical information from paper or electronic medical record and populates data collection tool to support compliance with quality measures for our Medicare, commercial and/or other pay-for-performance initiatives.
Creates monthly reports and dashboards for reporting progress in collaboration with the Project Coordinator.
Analyze monthly eligibility reports of ACO patients for all insurances to assure participation of members is accurate.
Compilation, interpretation, and analysis of data.
Report to the PPM Leadership as appropriate the status of Quality Incentive Programs.
Produces high quality metrics and reports on the performance of health centers and uses these tools to provide a working analysis of changes required to meet and/or maintain operational requirements.
Analyze patient rosters for each of the programs to clarify appropriate demographic information such as eligibility of participation in the ACO/PCMH programs.
Collaborates with Physicians, management, and insurers on current and future quality and process improvement initiatives.
Collaborate with Health and Wellness resources for added support for providers and for patient resources to care.
Participates with all Incentive Program committees, as required, as it pertains to the ACO/PCMH and Insurance incentive Programs.
Develop and maintain an atmosphere of personalized service through individual contact with key healthcare administrators, providers, community leaders and individuals throughout the community.
Reviews and contributes to assessment and appropriateness of providers offices working closely with office administration and managers.
Meets with Stakeholders to collaborate on best practices, educational opportunities, peer coaching with regards to all Incentive based programs.
Ability to delegate appropriate tasks to members of the team and follow through to make sure tasks are completed.
PHYSICAL REQUIREMENTS S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.