Medical Coordinator Job Description

Medical Coordinator Job Description

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197 votes for Medical Coordinator
Medical coordinator provides professional assistance and serves as a resource for medical staff members regarding medical staff bylaws, rules and regulations, hospital and medical staff policies, state statutes, licensing boards regulations, and other regulatory and accreditation agency standards and parliamentary procedure.

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:

Managing vendor-related activities
Ensuring that health-care provider related expenses are reported internally to fulfill obligations under our corporate integrity agreement and the Sunshine Act
Managing investigator-initiated grant request procedures
Archiving documents as per records retention policy
Providing back-up support for other departmental functions as needed
Following all applicable policies and procedures related to MSLs
Enter pertinent clinical information into our Care Management database
Ensure that the Team Leader is notified regarding high cost and out of network cases
Communicate with the Team Leader regarding any pertinent information
Editing / re-formatting documents according to the new and existing platforms

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:

CPT procedure and ICD-9 coding
Medical terminology
Americans with Disability Act and FMLA
Medical case management claims processing and medical terminology
Chevron’s
Conforms to hospital policy and procedure
Families and governmental agencies in all interactions and conduct
Grammar
ICH/GCP Guidelines and applicable local regulations
Latest trends and technologies in digital

Desired experience for medical coordinator includes:

Communicating risks and issues to the team
Working both independently and collaboratively in a fast paced detail oriented environment
Managing investigator-initiated grant request procedures (e.g., study site engagement, agreements, coordination of drug, scheduling meetings, creating minutes)
Appear for work with punctuality and reliability
Provide support as requested by the Chief Medical Officer
Effectively plan and organize work requests and complete tasks within prescribed timeframes

Medical Coordinator Examples

1

Medical Coordinator Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of medical coordinator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical coordinator
  • 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
Qualifications for medical coordinator
  • 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
2

Medical Coordinator Job Description

Job Description Example
Our growing company is searching for experienced candidates for the position of medical coordinator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for medical coordinator
  • 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
Qualifications for medical coordinator
  • 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
3

Medical Coordinator Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of medical coordinator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for medical coordinator
  • 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
Qualifications for medical coordinator
  • 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
4

Medical Coordinator Job Description

Job Description Example
Our company is growing rapidly and is looking for a medical coordinator. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical coordinator
  • 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
Qualifications for medical coordinator
  • 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
5

Medical Coordinator Job Description

Job Description Example
Our growing company is looking to fill the role of medical coordinator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for medical coordinator
  • 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
Qualifications for medical coordinator
  • 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

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