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Document and Coding Project Coordinator

Healthfirst · Flexible / Remote

Publicada em 21/10/2026

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Description and RequirementsThe Documentation & Coding Project Coordinator is responsible for managing and monitoring the activities of the Clinical Documentation and Coding Department, in which they audit provider documentation and educate on coding practices along with other related projects that support Healthfirst's quality objectives.Duties & Responsibilities:Responsible for expanding and improving medical records acquisition for RADV risk adjustment programManages 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 improvementAnalyzes 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 qualityPrepares quality improvement related presentations that accurately summarize complex information, details and dataAssists other departments with clinical documentation and coding initiativesProvides 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.Analyzes invoice data to reduce billing errors and ensure billable info is correct for the Clinical Documentation and Coding Department audits.Additional duties as necessary and as directedMinimum Qualifications:HS Diploma or GED from an accredited institution2-3 years in medical record retrieval in a health plan/ provider setting or administrative experience in lieu of health care settingStrong writing, time management, critical/creative thinking, communication, and problem-solving skills.Strong worki
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