medical records coordinator

Encore Wound Care

Job Overview The Clinical Document Coordinator is responsible for supporting provider credentialing and compliance activities by maintaining accurate records, monitoring licensure and certification expirations, and serving as a liaison between providers and the credentialing company. This role ensures all provider documentation is current, organized, and compliant with regulatory and organizational requirements.Responsibilities<ul><li>Licensure &amp; Certification Tracking</li><li>Monitor and track expiration dates for all provider licenses, certifications, and registrations</li><li>Proactively notify providers of upcoming expirations and renewal requirements and collect updated documentation</li><li>Maintain accurate and up-to-date records of all licensure documentation</li><li>Verify insurance coverage and perform insurance eligibility checks using managed care protocols</li><li>Prepare and maintain accurate medical records in compliance with HIPAA regulations and organizational policies</li><li>CAQH Profile Management</li><li>Create, update, and maintain provider profiles within CAQH</li><li>Ensure all attestations are completed on time</li><li>Upload and verify accuracy of provider documents within the CAQH system</li><li>Document Management &amp; Compliance</li><li>Organize and maintain digital files for all provider credentials, including licenses, malpractice insurance, DEA, and certifications</li><li>Ensure all required documentation is current and audit-ready</li><li>Assist with internal and external audits by providing requested documentation</li><li>Credentialing Coordination</li><li>Serve as the primary point of contact between providers and the credentialing company</li><li>Track credentialing application statuses and follow up as needed</li><li>Communicate any missing or incomplete items to providers promptly</li><li>Administrative Support</li><li>Maintain tracking logs and spreadsheets related to credentialing and compliance</li><li>Assist with onboarding new providers by gathering and organizing required documentation</li><li>Support ongoing compliance initiatives and process improvements</li></ul>Skills<ul><li>2+ years of administrative experience, preferably in healthcare or credentialing</li><li>Experience with CAQH and provider credentialing processes strongly</li><li>Experience with managed care processes and insurance verification procedures</li><li>Familiarity with HIPAA regulations to safeguard patient privacy and confidentiality</li><li>Previous medical office experience preferred for seamless integration into clinical workflows</li><li>Excellent organizational skills with attention to detail in record-keeping and documentation</li><li>Ability to communicate effectively with healthcare providers and internal teams, and 3rd party groups</li></ul>This role is perfect for motivated individuals eager to grow within the healthcare administration field. Join us in delivering exceptional patient care through efficient administrative support!Pay: $18.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Clinical Document Coordinator

Blue Shield of California

<div>Your Role 
 
The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work. 
 
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.</div>
 <div>Your Work
In this role, you will:
<ul><li>Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
</li><li>Educate members on missing care gaps and provide encouragement to obtain missing service.
</li><li>Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
</li><li>Manage and maintain HEDIS files and medical records
</li><li>Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
</li><li>Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
</li><li>Research member claims and encounters to identify accurate pursuit information for medical record retrieval
</li><li>Review medical records and identify elements for compliance
</li><li>Create and maintain detailed logs of member and provider interactions
</li><li>Ability to de-escalate situations
</li><li>Assist in onboarding contingent workforce for HEDIS and outreach projects
</li><li>EMR and vendor portal medical record retrieval
</li><li>Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
</li><li>Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
</li><li>Ability to work independently in a fast-paced environment with minimal errors</li></ul></div>
 <div>Your Knowledge and Experience
<ul><li>Requires a high school diploma or equivalent
</li><li>Requires limited knowledge of systems and procedures
</li><li>Typically, has limited or no prior experience
</li><li>Communication and interpersonal skills
</li><li>Must be organized with the ability to keep accurate notes and records
</li><li>Customer service experience is preferred
</li><li>HEDIS knowledge strongly preferred
</li><li>Critical thinking skills
</li>Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches 
<li>
</li></ul>Hybrid Virtual Work
 
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.</div>
 <div>ABOUT THE TEAM 
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
Our Values:
<ul><li>Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
</li><li>Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
</li><li>Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
</li></ul><div>Our Workplace Model
We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
<ul><li>For most teams, this means coming into the office two days per week.
</li><li>Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
</li><li>For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
</li></ul>The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
</div>Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. 
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.</div>

Clinical Quality Coordinator, Entry

Ballad Health

<div>Job Description: 
Summary: 
The Referral/Pre-Certification Coordinator Verifies and updates patient registration information in Epic. Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections, and radiology services. Act as liaison between health plan and physician and/or clinic staff regarding patient complaints and patient non-compliance. Effectively communicate, collaborate, and interact with patients\plan members, multiple levels of internal personnel and external customers. Use complete knowledge of various insurances and stays current on constantly changing requirements, contracted plans, and any other pertinent information pertaining to referrals. Utilize online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Create appropriate referrals to attach to pending visits. Verify patient demographic information and insurance eligibility including coordination of benefits; update and confirm as necessary to allow processing of claims to insurance plans. Complete chart prepping tasks daily to ensure smooth check-in process for the patient and clinic. Research all information needed to complete registration process, obtaining information from clinicians, ancillary services, and patients. As needed, fax referral/authorization form(s) to PCPs and insurance companies in a timely manner. Review and notify front office staff of outstanding patient balances. Maintain satisfactory productivity rates and ensure the timeliness of claims reimbursement while maintaining work queue goals. Responsible for handling the collection and documentation of patient referrals from BHMA physicians for specialist care to obtain the necessary approval, preauthorization, precept, or referral from the managed care companies or other parties requiring authorization. 
Respond to In-house clinician and support staff questions, requests, and concerns regarding the status of patient referrals, care coordination or follow-up status. Identify and communicate trends and/or potential issues to management team. Index referrals to patient accounts for existing patients. Create new patient accounts for non-established patients to index referrals. 
Various duties as they arise. 
Requirements: 
Education/Experience: 
Required &ndash; High School Graduate and 2 years' prior experience in the medical field. 
Knowledge/Skills Abilities: 
Excellent phone etiquette - verbal, written and listening skills. Must have strong customer service skills, demonstrating tact and sensitivity in stressful situations. Knowledge of medical terminology and CPT, HCPCS and ICD coding. Prior experience utilizing electronic medical records. Ability to maintain confidentiality and observe HIPAA compliance. Be able to process 60-80 referrals daily. 
Preferred: 
Associates Degree or bachelor's degree in Healthcare or Business-related field. 
 
 
Work Requirements: 
Shift: Day 
On Call: No 
Weekends: No 
Travel Required: No Travel 
Shift Details: 8a-430p
 
City/State: Abingdon, VA
Location: 
Ballad Health Medical Associates</div>

Referral/Pre-Certification Coordinator (8a-430p) - Abingdon, VA

MCMC

<div>Calling All LPNs and RNs!
Are you an LPN's and RN's looking for an exciting new opportunity? MCMC is on the hunt for a talented Clinical Quality Assurance Coordinator to join our growing team! In this role, you&rsquo;ll dive into medical records, pulling out key details and crafting detailed narrative summaries. Your keen eye for detail will make you an invaluable part of our quality assurance process.
<div>Why You&rsquo;ll Love This Role: 
-100% Remote &ndash; Work from where you're most comfortable - home! 
<ul><li>Flexible Hours &ndash; Monday-Friday. Start your day between 11:30am EST, and end at 8:00pm EST.</li></ul></div>
At MCMC, we&rsquo;re an employee-first company offering fantastic benefits and incredible growth opportunities. If you&rsquo;re ready to take the next step in your career with a team that values your expertise, we want to hear from you!
Don&rsquo;t wait&mdash;apply today and join us on this exciting journey!
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience preferred. Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, or disability preferred.
Certificates, Licenses, Registrations
LPN/LVN/RN may be required based on business needs.
ESSENTIAL COMPETENCIES
QUALIFICATIONS
<ul><li>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</li><li>
Must be a qualified typist with a minimum of 40 W.P.M</li><li>
Must have a full understanding of HIPAA regulations and compliance.</li><li>
Must be able to operate a general computer, fax, copier, scanner, and telephone.</li><li>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</li><li>
Must demonstrate exceptional communication skills.</li><li>
Ability to follow instructions and respond to upper managements&rsquo; directions accurately.</li><li>
Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met.</li><li>
Must be able to work independently, prioritize work activities and use time efficiently.</li><li>
Must be able to maintain confidentiality.</li><li>
Must be able to demonstrate and promote a positive team -oriented environment.</li><li>
Must be able to stay focused and concentrate under normal or heavy distractions.</li><li>
Must be able to work well under pressure and or stressful conditions.</li><li>
Must possess the ability to manage change, delays, or unexpected events appropriately.</li><li>
Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.</li></ul>
LANGUAGE/COMMUNICATION SKILLS
<ul><li>Ability to read, analyze and interpret common correspondence, medical records, and legal contracts and documents.
</li><li>Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.</li><li>
Ability to respond appropriately and professionally to all inquiries or complaints from customers, physicians, regulatory agencies, and/or members of the business community.
</li><li>Ability to effectively present information one-on-one or in small groups.</li></ul>
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position generally consists of:<ul><li>
Ability to work at a desk or similar office-type furnishings up to 8 hours a day or longer as required by business needs.</li><li>
Ability to operate a computer up to 4 hours at a time.</li><li>
Ability to travel to different floors of the office or other locations.</li><li>
Ability to move throughout the office.
</li><li>Occasionally lifting and/or carrying up to 10 lbs.</li><li>
Occasionally pushing/pulling up to 10 lbs.</li><li>
Occasionally subject to bending, squatting or twisting.</li></ul>
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>
Extended hours are occasionally required beyond the regular eight (8) hour work day.</li><li>
The noise level in the work environment is usually moderate.
</li></ul>MCMC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</div>

Clinical Quality Assurance Coordinator

Tender Touch Rehab Services LLC

<div>
 
 Job Description:
 
 
 Need to be proficient in basic writing skills to email clients.
 
 
 Comfortable on the computer to&nbsp;review and compile medical records on the computer.&nbsp;
 
 
 Should be able&nbsp;to follow instructions set by the Claims Dept Manager for logging the requests of claims and /or appeals from the facility, and update the spreadsheet database&nbsp;with all necessary details as per the set standards of the department.
 
 
 Ensure&nbsp;all the medical records from Net-Health and SharePoint have been organized and provided to the reviewer for review.
 
 
 Maintain tracking of requests, submissions, denials, appeals, etc., as per department standards.
 
 
 
 
 
 Qualifications
 
 
 &bull;	College Graduate
 
 
 &bull;	Yearning to work in a fast-paced job
 
 
 &bull;	Have ability to communicate clearly and courteously
 
 
 &bull;	Have skills in writing professional emails
 
 
 &bull;	Have experience or willingness to learn to use Microsoft Excel and similar programs
 
 
 &bull;	Be thorough and pay attention to details
 
 
 &bull;	Be efficient and productive&nbsp;
 
 
 &bull;	Be a fast Learner
 
 
 
 
 
 Job Responsibilities
 
 
 1.	In charge of emails. Communication and action as needed based on the email
 
 
 2.	Respond to facility requests in a reasonable time frame&nbsp;
 
 
 3.	Communicate effectively
 
 
 4.	Submit records online/ Mail them physically&nbsp;
 
 
 5.	Be able to pull necessary reports when requested&nbsp;
 
 
 6.	Pull Medical records from Net Health
 
 
 7.	Organize and use PDF Xchange&nbsp;
 
 
 8.	Maintain a clean and accurate Spread Sheet&nbsp;
 
 
 9.	Organize the medical records as per the Checklist provided&nbsp;
 
 
 
 
 
 Physical Demands&nbsp;
 
 
 Extended sitting and being on the computer. Work will be in the office with accommodations for&nbsp;working from home occasionally.
 
 
 
 
</div>

Clinical Assistant

Stealth HC

<div>Who we are
We help physicians achieve independence by making it easier to start, operate, and grow their practices with AI driven technology. We also work directly with patients to understand their injuries and treatment history, enabling physicians to focus on delivering care.
Founded in 2024, we are a venture backed company that has already reached profitability and built a strong, credentialed customer base across California, including leading orthopedic surgeons.
About the role
This is a non clinical, remote healthcare role that is well suited for individuals who want meaningful work and real exposure to healthcare operations.
You will speak directly with patients, collect and organize medical histories, and help ensure medical records are accurate and complete. The work is structured, repeatable, and supported by templates and training.
What you will do<ul><li>
Conduct outbound calls with patients (in English and Spanish) to gather detailed medical and injury histories</li><li>
Listen actively and document information with a high level of accuracy using structured templates and internal systems</li><li>
Review medical records for completeness, clarity, and internal consistency</li><li>
Organize and standardize medical information to meet quality and documentation standards</li><li>
Ensure patient histories are thorough, consistent, and easy for physicians to interpret</li><li>
Review your work carefully to maintain a high standard of accuracy</li><li>
Follow established workflows and documentation protocols</li><li>
Partner with the operations team to continuously improve processes and quality</li></ul>
You might be a good fit if you<ul><li>
Enjoy focused, detail-oriented work and take pride in precision</li><li>
Are comfortable engaging in thoughtful, sometimes extended conversations with patients</li><li>
Can remain calm, empathetic, and professional during sensitive or challenging discussions</li><li>
Are dependable and able to manage your time independently</li><li>
Thrive in structured environments and follow processes consistently</li><li>
Are interested in gaining exposure to healthcare&mdash;especially if you are pre-med, studying public health, nursing, or exploring a career in healthcare</li></ul>
Nice to have but not required<ul><li>
Previous experience in medical scribing or healthcare administrative roles</li><li>
A strong interest in healthcare, medicine, or operations</li><li>
Comfort learning and working with new software and tools</li></ul>
Role details<ul><li>
Clear responsibilities, expectations, and performance metrics</li><li>
Remote schedule</li><li>
Fluency in Spanish is required</li><li>
Structured onboarding and training provided</li><li>
Hourly and salary positions available</li></ul></div>

Medical Scribe (Spanish Fluency Required)

<div>Who we are
We help physicians achieve independence by making it easier to start, operate, and grow their practices with AI driven technology. We also work directly with patients to understand their injuries and treatment history, enabling physicians to focus on delivering care.
Founded in 2024, we are a venture backed company that has already reached profitability and built a strong, credentialed customer base across California, including leading orthopedic surgeons.
About the role
This is a non clinical, remote healthcare role that is well suited for individuals who want meaningful work and real exposure to healthcare operations.
You will speak directly with patients, collect and organize medical histories, and help ensure medical records are accurate and complete. The work is structured, repeatable, and supported by templates and training.
What you will do<ul><li>
Conduct outbound calls with patients (in English and Spanish) to gather detailed medical and injury histories</li><li>
Listen actively and document information with a high level of accuracy using structured templates and internal systems</li><li>
Review medical records for completeness, clarity, and internal consistency</li><li>
Organize and standardize medical information to meet quality and documentation standards</li><li>
Ensure patient histories are thorough, consistent, and easy for physicians to interpret</li><li>
Review your work carefully to maintain a high standard of accuracy</li><li>
Follow established workflows and documentation protocols</li><li>
Partner with the operations team to continuously improve processes and quality</li></ul>
You might be a good fit if you<ul><li>
Enjoy focused, detail-oriented work and take pride in precision</li><li>
Are comfortable engaging in thoughtful, sometimes extended conversations with patients</li><li>
Can remain calm, empathetic, and professional during sensitive or challenging discussions</li><li>
Are dependable and able to manage your time independently</li><li>
Thrive in structured environments and follow processes consistently</li><li>
Are interested in gaining exposure to healthcare&mdash;especially if you are pre-med, studying public health, nursing, or exploring a career in healthcare</li></ul>
Nice to have but not required<ul><li>
Previous experience in medical scribing or healthcare administrative roles</li><li>
A strong interest in healthcare, medicine, or operations</li><li>
Comfort learning and working with new software and tools</li></ul>
Role details<ul><li>
Clear responsibilities, expectations, and performance metrics</li><li>
Remote schedule</li><li>
Fluency in Spanish is required</li><li>
Structured onboarding and training provided</li><li>
One week of in-person onboarding required at our San Mateo location</li><li>
Hourly and salary positions available</li></ul></div>

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10000 medical records coordinator jobs Near Me

Clinical Document Coordinator

Clinical Quality Coordinator, Entry

Referral/Pre-Certification Coordinator (8a-430p) - Abingdon, VA

Clinical Quality Assurance Coordinator

Clinical Assistant

Medical Scribe (Spanish Fluency Required)

Medical Scribe (Spanish Fluency Required)