Clinical Documentation & Coding Quality Project Lead

Healthfirst; Tennessee; On-site; USD 42,000 - 62,000; Full time

Job summary

Healthfirst is seeking a Documentation & Coding Project Coordinator to manage and monitor activities in the Clinical Documentation and Coding Department. You will audit provider documentation, educate on coding practices, and support quality objectives across related projects.

The role involves expanding records acquisition for RADV, communicating with partners on CMS audits, and driving process improvements while ensuring HIPAA compliance and data accuracy.

Qualifications

• HS Diploma or GED from an accredited institution.
• 2-3 years in medical record retrieval in a health plan/ provider setting or administrative experience in lieu of health care setting.
• Strong writing, time management, critical/creative thinking, communication, and problem-solving skills.
• Strong working knowledge of Microsoft Office Suite and Outlook.

Responsibilities

• Expand and improve medical records acquisition for the RADV risk adjustment program.
• Manage relationships and communicate with internal and external partners regarding quality objectives related to CMS audits.
• Collaborate with key departments on quality-driven initiatives and process improvements.
• Analyze data to identify data-driven opportunities and root causes for CMS audits.

Skills

Writing skills

Time management

Critical thinking

Communication

Problem-solving

MS Office proficiency

Education

HS Diploma or GED

Associate degree

Tools

Microsoft Office

Outlook

Job description

Healthfirst is seeking a Documentation & Coding Project Coordinator to manage and monitor activities in the Clinical Documentation and Coding Department. You will audit provider documentation, educate on coding practices, and support quality objectives across related projects.

The role involves expanding records acquisition for RADV, communicating with partners on CMS audits, and driving process improvements while ensuring HIPAA compliance and data accuracy.