Quality Coordinator

Quality Coordinator
Coastal Health

Coastal Health is currently seeking a motivated and detail-oriented Quality Coordinator to join our team.

Coordination of Care Responsibilities

• Monitor daily census reports from hospitals and payer resources to reduce emergency room utilization and hospital readmissions
• Ensure timely and appropriate follow-up appointments are scheduled and completed
• Assist patients in navigating care transitions while promoting access to appropriate services
• Act as an advocate, liaison, and information resource for patients, care teams, and families
• Identify “high-risk” patients and facilitate access to insurance-based Case/Care Management programs
• Ensure accurate documentation, coding, and billing submission
• Provide medication education, conduct medication reviews, and promote adherence

Quality Responsibilities

• Ensure all required forms are completed and included in patient charts prior to appointments
• Complete and submit quality forms for all insurance plans
• Serve as point of contact for on-site health screening events, including patient outreach and scheduling
• Act as a resource for physicians and staff on ongoing HEDIS initiatives
• Collaborate with staff to improve workflow processes, documentation, and data abstraction to close care gaps
• Perform ongoing chart reviews for HEDIS and quality measures
• Conduct patient outreach and assist with required screenings (e.g., A1C, urine microalbumin, etc.)
• Coordinate outreach and scheduling for Members Without Office Visits (MWOV)
• Initiate dismissal paperwork for non-compliant patients in accordance with CMS guidelines

Additional Responsibilities

• Perform other duties as assigned

Qualifications

• Minimum of 2 years of experience in a clinical setting
• Self-motivated with the ability to work independently and adapt to changing priorities
• Strong organizational skills with attention to detail and accurate record-keeping
• Proficiency in Microsoft Word, Excel, Outlook, and billing software (Intergy preferred)
• Knowledge of ICD-10 and CPT coding
• Excellent verbal and written communication skills
• Demonstrated leadership abilities

• High school diploma or equivalent required, higher education in health care preferred including medical assistant training or LPN
• A minimum of 2 years experience in a clinical setting
• Autonomous and demonstrates a high level of motivation and flexibility
• Highly organized with ability to keep accurate notes and records
• Proficient in Microsoft Word, Excel, Outlook email and billing software: Intergy.
• Knowledgeable of ICD-10 and CPT coding
• Excellent verbal/written communication skills
• Leadership capabilities