Healthcare Data Integrity Specialist

Healthfirst; Texas; 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 accuracy, integrity, and timely management of member records and clinical documentation. The role involves quality reviews, cross-system data reconciliation, and supporting regulatory requests while coordinating with Care Managers and internal teams.

Responsibilities include processing electronic documents, managing the SFT inbox, and maintaining enrollment and PCSP data.

Qualifications

• HS diploma or GED from an accredited institution.
• Experience with EMR/PHI and healthcare documentation systems.
• Proficiency in Microsoft Excel, including formulas, sorting, filtering, and pivot tables.
• Ability to navigate across multiple electronic documentation and database systems simultaneously.

Responsibilities

• Perform quality reviews to maintain data integrity for events and reporting.
• Process members' electronic documents and verify data accuracy.
• Resolve discrepancies using standard procedures and route incomplete documents for correction.
• Manage State Secure File Transfer (SFT) inbox, track requests, and securely transmit required documentation.
• Facilitate manual mailings for other departments as needed.
• Maintain enrollment nodes, member demographics, and PCSP details across systems.
• Conduct data quality reviews across UAS and source docs to reconcile data discrepancies.
• Support assignment and reassignment of members to Primary Care Managers based on criteria and capacity.
• Research and resolve assignment discrepancies and coordinate with stakeholders.

Skills

Multisystem navigation

Excel with pivot tables

EMR/PHI familiarity

Education

HS diploma or GED

Job description

Healthfirst is seeking a Medical Records Coordinator to ensure accuracy, integrity, and timely management of member records and clinical documentation. The role involves quality reviews, cross-system data reconciliation, and supporting regulatory requests while coordinating with Care Managers and internal teams.

Responsibilities include processing electronic documents, managing the SFT inbox, and maintaining enrollment and PCSP data.