Medical Coordinator Job Description
Medical Coordinator Duties & Responsibilities
To write an effective medical coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included medical coordinator job description templates that you can modify and use.
Sample responsibilities for this position include:
Medical Coordinator Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Coordinator
List any licenses or certifications required by the position: LPN, CMA, RMA, CPCS, CPMSM, BAT, UDS, PFT, ASCP, NAMSS
Education for Medical Coordinator
Typically a job would require a certain level of education.
Employers hiring for the medical coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Associates, Medical, Business, Management, Healthcare, Graduate, Health Care, Chemistry, Healthcare Administration
Skills for Medical Coordinator
Desired skills for medical coordinator include:
Desired experience for medical coordinator includes:
Medical Coordinator Examples
Medical Coordinator Job Description
- Effectively communicate with cast members, managers of all levels, members, and guests
- Experience using Microsoft Office, including Microsoft Word, Microsoft Excel, and Outlook
- Experience using Microsoft SharePoint is required
- Experience working in a hospital with focus on an operating room environment
- Knowledge of medical facilities, including operating rooms, radiology suites, and other provider areas
- Knowledge of all membership types
- Experience using Adobe Indesign is preferred but not required
- Detail oriented with the ability to work with minimal supervision work well with others
- Maintain MedInfo archives (organization and update)
- Provide scientific data with high quality
- Significant knowledge of federal and state regulatory requirements and accreditation standards (i.e., TJC, NCQA, DOC, DHS, DMHC, CMS, Title 22)
- Three or more years of medical collections experience in a business office
- Significant knowledge of Federal and State regulatory requirements and accreditation standards, , TJC, TITLE 22, NCQA, NPDP, and certifying agencies
- Allow a quick time of response
- Guarantee high quality responses in short turn around time
- Minimize operational burden on the local medical team
Medical Coordinator Job Description
- Provide robust insights and data analysis for the PT+SP cluster
- Preparing summary data reports on identified KPI’s
- Support the Medical Advisors with the management of Investigator Initiated Studies and Local Clinical Evaluation Studies
- Confers with physicians and nursing staff on special products or equipment needs and initiates trial use if indicated
- Supports the Center's philosophy, procedures, policies and goals
- Communicates a positive and caring attitude towards peers, other staff members, patients and visitors
- Maintains strict confidentiality of patient information and Center communication and records
- Participates in Department and Facility staff meetings, as appropriate, and complies with the Center's performance
- Works as scheduled and reports for duty on time
- Analyzes reports and maintain accurate month-end procedures
- Serves as liaison to the program coordinators and assists with facilitating monthly coordinators meetings
- Shorthand and/or speedwriting would be an advantage
- Management / team leader experience
- Must have experience in quality improvement
- At least 2 years experience in an administrative capacity in a medium or large size company with strong administrative skills
- Must have a high degree of fluency in spoken and written English, a pleasant telephone manner and the ability to prioritise work
Medical Coordinator Job Description
- Coordinates, tracks completion, and manages acceptance of casebooks and appendix documents
- Prepares documents for submission to RIC, Data Management, and Regulatory Affairs
- Acts as eDocs Peer Advisor/Subject Matter Expert for assigned clinical teams
- Serves as an expert on the electronic document system in support of the clinical team
- Analyze essential data within the applications and all additional relevant documentation/information to ensure compliance with all federal and state regulatory requirements, Medical Staff Bylaws and affiliated documents, and TJC standards for initial appointment, reappointment or miscellaneous requests staff membership and clinical privileges in an independent, efficient, and timely manner
- Processes bills in accordance with multi state schedules, rules, regulations and guidelines
- Applies PPO contract discounts to bills
- Handles provider appeals where appropriate to fee schedule and contractual disputes
- Communicates internal issues to management
- Assists bill review supervisor with workflow management, coaching and mentoring of staff
- Able to provide anlysis and trending on identified KPI’s
- Experience in providing summary data reports and preparing presentations
- Experience as a safety officer preferred
- Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper (HMO, PBM, CMS-1500)
- Research and fix claim issues related to over/under billed amounts, incorrect HCPC code, ICD-9/10 diagnosis codes, insurance audits
- Knowledge of Medicare/Medicaid, CAQH, NCQA, and OIG
Medical Coordinator Job Description
- Monitor and maintain all patient-related medical equipment using Medical Equipment Asset Management software by timely documenting inspections, maintenance, performance and safety testing
- Maintain biomedical equipment supplies inventory by checking stock
- Ensures all surgical sets are complete, available and accurate per BOM, and accounted for in the field
- Inspects and replenishes sets which may have been quarantined after normal hours
- Examines instrumentation for missing components
- Examines implant container and/or screw rack for missing items
- Replenishes items from shipment package(s) as ordered by Sales Consultants
- Updates Bill of Materials and SIMS inventory, as required
- Log all field equipment into inventory tracking tool
- Tag & log all new equipment releases
- Proven planning and organisational skills the ability to multi-task and problem solve
- Knowledge of medical staff bylaws, rules/regulations, The Joint Commission and Title 22 accreditation standards/requirements preferred
- Understanding, overseeing and be the liaison for the third-party collection agency's process, this person will NOT perform collection calls, but will manage the relationship
- Perform check and balance with team - you'll check other's work while they're checking your work for accuracy
- Delivers agreed Key Performance Indicators (KPIs) to achieve business objectives, including call answer rate, productivity & quality targets to ensure defined Service Level Agreements (SLAs) are met
- Minimum education standard of 5 GCSEs at Grade C or above or equivalent or appropriate experience
Medical Coordinator Job Description
- Strive to hit and exceed annual inventory turn targets
- Coordinates daily dispatch and retrieval of sets and equipment using approved courier service
- Emphasis placed on building good customer relations with Materials Management, Central Sterile, Accounting/Finance/Billing departments and other pertinent departmental staff
- Coordinates the house staff BCLS/ACLS certification process and tracking to ensure proper, unexpired certification
- Board of Medicine to ensure institutional compliance and to apply accurate credentialing procedures
- Maintains current knowledge of federal regulations affecting medical education reimbursement
- Acts as the central resource for residency recruitment
- Coordinate related visiting student rotations
- Maintain confidential files related to training
- Support resident recruitment, orientation, tracking, and related web-based applications and promotional materials
- Effective time management to be able to multi-task, prioritise to meet varying tasks and deadlines and delegate
- Takes ownership for personal growth, this includes being open & responsive to feedback, being self-aware, self-reflective, displaying personal initiative and ensuring industry knowledge is kept up to date
- Is self-managed and motivated, has a proactive/’can-do’ attitude, can demonstrate effective problem solving and is solutions focused even when working under pressure
- Knowledge of re-pricing rules and guidelines
- Knowledge of multiple state jurisdictional regulations and rules
- Knowledge of Fee Schedules, Rules, and U&C Guidelines