Quality Coordinator

Coastal Health•Orange Park, FL

3d•Onsite

About The Position

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.

Requirements

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
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

Responsibilities

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
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