Clinical Quality Project Coordinator
HealthFirst
Summary
The Clinical Quality Project Coordinator is responsible for coordinating medical record retrieval activities, including in-person retrievals at provider offices and healthcare facilities. Responsibilities include submitting and tracking record requests, monitoring and following up on outstanding requests, performing quality checks of received records for completeness and accuracy, and resolving or escalating retrieval barriers. The position maintains accurate documentation of retrieval activities and works with internal teams, provider and vendor contacts to ensure timely completion of medical record requests, supplemental data submissions and project goals.
Job description
This position has a hybrid work location: Remote, office-based, and in the field as needed. Office location is 100 Church Street, New York.
Duties & Responsibilities
- Coordinates medical record retrieval activities from provider offices, hospitals, clinics, and other healthcare facilities, including in-person/on-site retrievals as required
- Submits, tracks, and monitors medical record requests through approved retrieval methods and maintain accurate documentation of request status and activity
- Conducts timely follow-up on outstanding requests and work with provider contacts to resolve barriers impacting record retrieval; escalate unresolved issues as appropriate
- Performs quality checks of received medical records to ensure documentation is complete, accurate, legible, and responsive to the request; proactively follow up on incomplete or missing records
- Utilizes internal systems, electronic medical records, provider portals, Microsoft Excel, and other approved tools to track, reconcile, and report retrieval activity
- Provides status updates on retrieval progress, outstanding requests, barriers, and completion rates to management and project stakeholders
- Maintains confidentiality and handle medical records and protected health information in accordance with Healthfirst policies and applicable privacy and security requirements
- Meets established productivity, quality, accuracy, and turnaround-time expectations
- Supports designated team supplemental data training and submission reconciliation activities for providers and vendors as required
- Participates in required meetings, training, and project activities. Performs additional duties as necessary and as directed
Minimum Qualifications
- HS diploma or GED from an accredited institution
- Ability to travel around the NYC metro area (five boroughs) and Long Island as necessary
Preferred Qualifications
- Associate's degree or higher from an accredited institution
- Prior experience in Managed Care/Health Insurance, in a health-related field or environment
- Knowledge of HEDIS/QARR and/or Medicare Stars
- Strong working knowledge of Microsoft Office Suite and Outlook
Requirements
- HS diploma or GED from an accredited institution
- Ability to travel around the NYC metro area (five boroughs) and Long Island as necessary
- Associate's degree or higher from an accredited institution
- Prior experience in Managed Care/Health Insurance, in a health-related field or environment
- Knowledge of HEDIS/QARR and/or Medicare Stars
- Strong working knowledge of Microsoft Office Suite and Outlook
Benefits
- Medical, Dental & Vision
- Incentive Programs
- Recognition Programs
- Life Insurance
- 401(k) Contributions
Company overview
HealthFirst is a medical equipment manufacturing company specializing in the development and production of healthcare devices and diagnostic equipment. As a medical device manufacturer, the company focuses on creating innovative solutions that enhance patient care and improve clinical outcomes. HealthFirst operates in the competitive medical technology sector, where it likely develops products ranging from diagnostic instruments to therapeutic devices used in various healthcare settings. The company's commitment to quality and regulatory compliance positions it as a reliable provider of medical equipment to hospitals, clinics, and healthcare facilities. With expertise in medical device engineering and manufacturing, HealthFirst contributes to advancing healthcare technology while maintaining rigorous standards for safety and efficacy. The company's products are designed to meet the evolving needs of healthcare professionals and patients, supporting improved diagnosis, treatment, and monitoring of medical conditions across different therapeutic areas.