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Medical Records Coordinator
Healthfirst. Perform quality checks to maintain the integrity of events and criteria for reporting .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in managing electronic medical records and healthcare documentation systems while ensuring compliance with regulatory requirements. Strong organizational, research, and problem-solving skills are essential for maintaining data integrity and facilitating effective communication across departments.
Highest-signal resume keywords
Electronic Medical Records (EMR) ManagementData Entry and Database ManagementMicrosoft Excel ProficiencyHealthcare Terminology KnowledgeAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality ChecksData EntryDocument ManagementResearch and AnalysisTroubleshooting Hardware and Software Issues
Soft Skills
Organizational SkillsTime-Management SkillsProblem-Solving SkillsSound Judgment
Tools & Technologies
Electronic Documentation SystemsHealthcare Database Systems
Certifications & Qualifications
HS Diploma/GED
Industry Keywords
Protected Health Information (PHI)MedicareMedicaidManaged CareRegulatory Requirements
About the role
Key responsibilities & impact- Perform quality checks to maintain the integrity of events and criteria for reporting
- Process members’ electronic documents and identify inaccurate or missing information
- Resolve discrepancies using standard procedures and return incomplete documents to departments for correction
- Respond to, monitor, and manage the State Secure File Transfer inbox
- Track incoming packages and document requests
- Retrieve and securely transmit requested PCSP and authorization documentation
- Complete the monthly disenrollment PCSP transfer process
- Monitor and track turnaround times
- Facilitate manual mailings for other departments
- Maintain enrollment nodes, member demographics, and Person-Centered Service Plan (PCSP) details
- Research and analyze member records across UAS, internal systems, and source documentation
- Manage documentation pulls for State and regulatory requests, internal audits, and legal inquiries
- Retrieve, review, validate, organize, and prepare clinical documentation within established submission timeframes
- Support member assignment and reassignment to appropriate Primary Care Managers
- Research and resolve assignment discrepancies and coordinate with stakeholders to maintain accurate caseloads and continuity of care
Requirements
What you’ll need- HS diploma/GED from an accredited institution
- Proficiency in navigating and working across multiple electronic documentation, healthcare, and database systems simultaneously
- Experience working with electronic medical records (EMR), protected health information (PHI), or related healthcare documentation systems
- Proficiency in Microsoft Excel, including data entry and editing, search functions, formulas, sorting and filtering, formatting, and using existing pivot tables
- Strong organizational and time-management skills
- Strong research and problem-solving skills
- Ability to troubleshoot basic hardware and software issues
- Experience with data entry and database management
- Strong attention to detail and ability to perform quality reviews and identify discrepancies
- Experience working in a healthcare, health plan, managed care, or related environment
- Knowledge of Medicare, Medicaid, managed care, healthcare terminology, and/or regulatory requirements
- Ability to exercise sound judgment, investigate discrepancies, identify appropriate next steps, and escalate complex or unresolved issues when necessary
Benefits
Comp & perks- Medical, dental, and vision coverage
- Incentive and recognition programs
- Life insurance
- 401k contributions
- Competitive compensation and benefits package