Clinical Records & Data Quality Specialist

Healthfirst; New Jersey; On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k contributions

Job summary

Healthfirst is seeking a Medical Records Coordinator to ensure the accuracy, integrity, and timely management of member records and clinical documentation. The role involves quality reviews, researching data discrepancies across multiple systems, and supporting SFT/UAS activities to meet regulatory requirements.

The coordinator will assist with regulatory, audit, and legal documentation requests, support member-to-care manager assignments, and collaborate with internal stakeholders to maintain

Qualifications

• Must have experience working with EMRs, PHI, or related healthcare documentation systems.
• Proficiency in Microsoft Excel including data entry, formulas, sorting/filtering, and pivot tables.

Responsibilities

• Perform quality checks to maintain data integrity for events and reporting.
• Process members' electronic documents and verify data accuracy; address missing information.
• Resolve discrepancies using standard procedures and route incomplete documents for correction.
• Manage State Secure File transfer inbox; track and securely transmit requested documentation.
• Assist with manual mailings for other departments.
• Maintain enrollment nodes, demographics, and PCSP details; conduct data quality reviews across systems.
• Support assignment/reassignment of members to Primary Care Manager based on criteria; resolve discrepancies and coordinate with stakeholders.
• Perform additional duties as assigned.

Skills

EMR systems

PHI data handling

Excel (Pivot tables)

Education

HS diploma/GED

Tools

Microsoft Excel

Job description

Healthfirst is seeking a Medical Records Coordinator to ensure the accuracy, integrity, and timely management of member records and clinical documentation. The role involves quality reviews, researching data discrepancies across multiple systems, and supporting SFT/UAS activities to meet regulatory requirements.

The coordinator will assist with regulatory, audit, and legal documentation requests, support member-to-care manager assignments, and collaborate with internal stakeholders to maintain