What are the responsibilities and job description for the Quality Coordinator position at Coastal Health?
Job Details
Job Location: Coastal Health Corporate - Orange Park, FL
Salary Range: Undisclosed
Description
Quality Coordinator Job Posting
Coastal Health is seeking a motivated and detail-oriented Quality Coordinator to join our dynamic team. This position plays a key role in improving patient care, ensuring quality outcomes, and supporting the coordination of care across various settings.
Coordination of Care Responsibilities:
- Monitor daily hospital census and payer resources to reduce emergency room visits and prevent hospital readmissions.
- Ensure timely scheduling of follow-up appointments, ensure patient adherence, and collaborate with patients to create a seamless care plan across different care settings, while promoting timely access to necessary services.
- Serve as an advocate, liaison, and information resource for patients, their care teams, and families.
- Assist in identifying high-risk patients and facilitate their access to appropriate Case/Care Management programs provided by insurance providers.
- Ensure accurate documentation, coding, and billing are submitted appropriately.
- Educate patients on medications, promote adherence, and provide thorough medication reviews.
Quality Component Job Duties:
- Ensure all necessary forms are present in patient charts prior to scheduled appointments.
- Complete and submit quality forms for all insurance plans.
- Serve as the point of contact for on-site health screening events and schedule patients for participation.
- Act as a resource and liaison for physicians and staff in support of ongoing HEDIS (Healthcare Effectiveness Data and Information Set) projects.
- Collaborate with staff to improve workflow processes, documentation practices, and the abstraction of data to close quality care gaps.
- Perform ongoing chart reviews for HEDIS/Quality measures for various insurance plans.
- Conduct patient outreach and engage in activities to support HEDIS/Quality screenings (e.g., A1c, urinemicroalbumin, etc.) as necessary.
- Outreach to members without office visits (MWOV) and assist with scheduling.
- Initiate dismissal paperwork for non-compliant patients according to CMS guidelines, as needed.
- Perform other job-related duties as assigned.
Qualifications:
- Minimum of 2 years of experience in a clinical setting.
- Ability to work autonomously with a high level of motivation and flexibility.
- Highly organized with strong attention to detail and the ability to maintain accurate records.
- Proficient in Microsoft Word, Excel, Outlook, and billing software (Intergy).
- Knowledgeable in ICD-10 and CPT coding.
- Excellent verbal and written communication skills.
- Strong leadership capabilities and the ability to work effectively in a collaborative environment.
If you are passionate about improving patient care and driving quality initiatives, we encourage you to apply for the Quality Coordinator position at Coastal Health!
Qualifications
- 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: Athena
- Knowledgeable of ICD-10 and CPT coding
- Excellent verbal/written communication skills
- Leadership capabilities
