Clinical Records & Data Integrity Specialist

Healthfirst; New York (NY); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k contributions

Job summary

Healthfirst is seeking a Medical Records Coordinator to support the accuracy and timely management of member records and clinical documentation. You will perform data quality reviews, resolve discrepancies across multiple systems, and manage regulatory requests while coordinating with Care Managers as needed.

The role requires strong Excel skills, experience with EMR/PHI, and the ability to navigate across healthcare databases.

Qualifications

• HS diploma or GED from an accredited institution.
• Proficiency in navigating multiple electronic documentation and healthcare databases.
• Experience with EMR, PHI, or related healthcare documentation systems.
• Proficiency in Microsoft Excel, including pivot tables.

Responsibilities

• Perform quality checks to maintain the integrity of events and reporting data.
• Process members' electronic documents, verify data for inaccuracies, and resolve missing information.
• Resolve discrepancies using standard procedures and/or return incomplete documents for correction.
• Manage State Secure File Transfer (SFT) inbox, track incoming packages and document requests; securely transmit required documentation.
• Facilitate manual mailings for other departments.
• Maintain enrollment nodes, member demographics, and PCSP details; conduct data quality reviews across systems.
• Manage documentation pulls for State and regulatory requests, audits, and legal inquiries; retrieve and prepare accurate records.
• Support assignment/reassignment of members to Primary Care Managers; resolve assignment discrepancies and coordinate with stakeholders.

Skills

EMR experience

PHI handling

Excel proficiency

Education

HS diploma/ GED

Tools

EMR systems

Job description

Healthfirst is seeking a Medical Records Coordinator to support the accuracy and timely management of member records and clinical documentation. You will perform data quality reviews, resolve discrepancies across multiple systems, and manage regulatory requests while coordinating with Care Managers as needed.

The role requires strong Excel skills, experience with EMR/PHI, and the ability to navigate across healthcare databases.