Job Title: Quality Improvement Coordinator
Location: Jackson, TN, 38301
This position works directly with providers to identify coding, documentation, and specificity opportunities and to deliver ongoing, targeted provider education that improves documentation accuracy, coding specificity, and reimbursement. The coordinator rounds regularly with providers, reviews charts and coding/documentation/charge trend data, coordinates with the clinic's third-party billing office for educational materials, and assembles and analyzes data for outcomes measurement and quality performance measures.
The role supports customer service, assists with provider education, reviews documentation and charge trends, and reports findings to leadership.
Duties
- Round regularly with providers to review documentation and identify coding, specificity, and reimbursement opportunities
- Provide one-on-one and small-group education on documentation requirements, coding guidelines, and specificity
- Coordinate with the clinic's third-party billing office to tailor provider education materials
- Monitor and report documentation deficiencies, missing or late charges, and provider or specialty trends
- Perform routine documentation and charge reviews
- Audit and analyze patient care data from medical records using Medicare and coding criteria
- Report findings to the 360 review team and Business Office Manager
- Organize, analyze, and present audit and rounding data to identify trends and education opportunities
- Track documentation and coding issues through resolution and escalate complex matters as needed
- Serve as a point of contact for provider questions related to coding, documentation, and charge capture
- Assist in training and cross-training of new employees
- Support research-related duties as needed
Working Conditions
- Medical office and clinic environment
- Frequent interaction with providers, employees, and other department personnel
- Requires time at a computer reviewing charts, charges, and coding/documentation data
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago