What are the responsibilities and job description for the Quality Coordinator position at Coastal Health Alliance?
Description
Quality Coordinator
Coastal Health
Coastal Health is currently seeking a motivated and detail-oriented Quality Coordinator to join our team.
Coordination Of Care Responsibilities
Quality Coordinator
Coastal Health
Coastal Health is currently seeking a motivated and detail-oriented Quality Coordinator to join our team.
Coordination Of Care Responsibilities
- Monitor daily census reports from hospitals and payer resources to reduce emergency room utilization and hospital readmissions
- Ensure timely and appropriate follow-up appointments are scheduled and completed
- Assist patients in navigating care transitions while promoting access to appropriate services
- Act as an advocate, liaison, and information resource for patients, care teams, and families
- Identify “high-risk” patients and facilitate access to insurance-based Case/Care Management programs
- Ensure accurate documentation, coding, and billing submission
- Provide medication education, conduct medication reviews, and promote adherence
- Ensure all required forms are completed and included in patient charts prior to appointments
- Complete and submit quality forms for all insurance plans
- Serve as point of contact for on-site health screening events, including patient outreach and scheduling
- Act as a resource for physicians and staff on ongoing HEDIS initiatives
- Collaborate with staff to improve workflow processes, documentation, and data abstraction to close care gaps
- Perform ongoing chart reviews for HEDIS and quality measures
- Conduct patient outreach and assist with required screenings (e.g., A1C, urine microalbumin, etc.)
- Coordinate outreach and scheduling for Members Without Office Visits (MWOV)
- Initiate dismissal paperwork for non-compliant patients in accordance with CMS guidelines
- Perform other duties as assigned
- Minimum of 2 years of experience in a clinical setting
- Self-motivated with the ability to work independently and adapt to changing priorities
- Strong organizational skills with attention to detail and accurate record-keeping
- Proficiency in Microsoft Word, Excel, Outlook, and billing software (Intergy preferred)
- Knowledge of ICD-10 and CPT coding
- Excellent verbal and written communication skills
- Demonstrated leadership abilities
- High school diploma or equivalent required, higher education in health care preferred including medical assistant training or LPN
- A minimum of 2 years experience in a clinical setting
- Autonomous and demonstrates a high level of motivation and flexibility
- Highly organized with ability to keep accurate notes and records
- Proficient in Microsoft Word, Excel, Outlook email and billing software: Intergy.
- Knowledgeable of ICD-10 and CPT coding
- Excellent verbal/written communication skills
- Leadership capabilities