Quality-Driven Medical Records & Coding Project Coordinator

Healthfirst; New York (NY); On-site; USD 49,000 - 66,000; Full time

Benefits offered by this job

Health insurance

401k

Dental insurance

Vision insurance

Life insurance

Incentive programs

Job summary

The Documentation & Coding Project Coordinator at Healthfirst oversees the Clinical Documentation and Coding Department, auditing provider documentation and guiding coding practices to support quality objectives. You will collaborate with internal and external partners, analyze data for CMS RADV audits, and drive process improvements across departments while ensuring HIPAA-compliant record accuracy.

Strong communication, organization, and proficiency in using EMR systems (Epic, eCW, Athena,

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

• Responsible for expanding and improving medical records acquisition for RADV risk adjustment program.
• Manages relationships and effectively communicate with internal and external partners regarding quality objectives and targets as they relate to CMS audits.
• Collaborates with key departments on Quality driven initiatives championing process improvement.
• Analyzes data to identify data-driven opportunities for improvement and determine root causes in areas that need improvement to be successful in our CMS audits.
• Ensures a working relationship on internal group projects for process improvements.
• Analyzes data to identify trends, issues, and opportunities for performance improvement as it relates to clinical quality.
• Prepares quality improvement related presentations that accurately summarize complex information, details and data.
• Assists other departments with clinical documentation and coding initiatives.
• Provides reporting and summaries on CMS audits in areas, but not limited to, noticeable trends, medical records, and issues.
• Ensures accuracy and completeness of medical records and complying with HIPAA guidelines.

Skills

Writing skills

Time management

Critical thinking

Communication

Problem solving

Education

HS Diploma or GED

Associates degree or higher

Tools

Epic

eCW

Athena

Cerner

Job description

The Documentation & Coding Project Coordinator at Healthfirst oversees the Clinical Documentation and Coding Department, auditing provider documentation and guiding coding practices to support quality objectives. You will collaborate with internal and external partners, analyze data for CMS RADV audits, and drive process improvements across departments while ensuring HIPAA-compliant record accuracy.

Strong communication, organization, and proficiency in using EMR systems (Epic, eCW, Athena,