Quality Operations Coordinator

Job Summary

To support quality improvement initiatives, the remote Quality Operations Coordinator will manage the auditing of participant medical records, ensuring compliance with regulatory requirements while collaborating with clinical teams to enhance documentation processes.

Key responsibilities:

• Conduct medical records audits to ensure timely and accurate documentation
• Identify deficiencies in electronic health records and facilitate corrections to maintain data integrity
• Assist with regulatory audits and prepare necessary documentation for review

Required qualifications:

• Associate's degree preferred, or three years of relevant experience in lieu of education
• Minimum two years of work experience in a healthcare setting or related areas
• Familiarity with healthcare quality standards and regulatory requirements
• Experience handling grievances or member/provider issues in a regulated healthcare environment is highly desired
• Intermediate to advanced proficiency in MS Office Suite