Quality Coordinator

Coastal Health•Orange Park, FL

8d•Onsite

About The Position

Coastal Health is currently seeking a motivated and detail-oriented Quality Coordinator to join our team. This role involves coordinating patient care, ensuring timely follow-ups, assisting patients in navigating care transitions, and acting as a liaison between patients, care teams, and families. The Quality Coordinator will also identify high-risk patients, facilitate access to case management programs, and ensure accurate documentation, coding, and billing. Additionally, the role includes providing medication education and promoting adherence. In terms of quality responsibilities, the coordinator will ensure all required forms are completed and submitted, serve as a point of contact for health screening events, and act as a resource for HEDIS initiatives. Collaboration with staff to improve workflows, documentation, and data abstraction is key, as is performing chart reviews for HEDIS and quality measures, conducting patient outreach, and coordinating MWOV outreach. The role also involves initiating dismissal paperwork for non-compliant patients. Other duties as assigned will also be part of the role.

Requirements

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
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

Nice To Haves

Higher education in health care preferred including medical assistant training or LPN

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