Quality Coordinator

Quality Coordinator – Coastal Health

Coastal Health is seeking a motivated, detail-oriented Quality Coordinator to join our growing team. This role plays a vital part in improving patient outcomes, enhancing care coordination, and supporting quality initiatives across the organization.

Key Responsibilities

Care Coordination

• Monitor daily hospital census and payer reports to help reduce emergency room utilization and prevent hospital readmissions

• Ensure timely scheduling and completion of follow-up appointments

• Coordinate patient care transitions across settings while promoting access to appropriate services

• Serve as an advocate, liaison, and informational resource for patients, families, and the care team

• Identify high-risk patients and facilitate enrollment in appropriate Case/Care Management programs

• Ensure accurate documentation, coding, and billing processes

• Provide medication education and promote adherence to prescribed treatment plans

Quality & Compliance

• Verify that all required forms are completed and included in patient charts prior to appointments

• Complete and submit quality documentation for all insurance plans

• Serve as point of contact for on-site health screening events, including patient outreach and scheduling

• Support physicians and staff with ongoing HEDIS initiatives and quality improvement projects

• Collaborate with team members to improve workflows, documentation accuracy, and data abstraction

• Conduct ongoing chart reviews to identify and close care gaps related to HEDIS and quality measures

• Perform patient outreach to ensure compliance with screenings (e.g., A1C, urine microalbumin, etc.)

• Conduct outreach for Members Without Office Visits (MWOV) and assist with scheduling

• Initiate dismissal documentation for non-compliant patients in accordance with CMS guidelines

Qualifications

• Minimum of 2 years of experience in a clinical setting

• Self-motivated with the ability to work independently and adapt in a fast-paced environment

• 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 and problem-solving abilities

Why Join Coastal Health?

At Coastal Health, we are committed to delivering high-quality, patient-centered care. Join a collaborative team where your contributions directly impact patient outcomes and community health.

• 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: Athena
• Knowledgeable of ICD-10 and CPT coding
• Excellent verbal/written communication skills
• Leadership capabilities