Benefits:

Competitive salary

Flexible schedule

Opportunity for advancement

Benefits/Perks

Healthcare/VIsion/Dental/Life Insurance/STD/LTD

Competitive Compensation

Careers Advancement

Job Summary

We are seeking an ambitious and mission-driven Chronic Care Coordinator to support and expand our growing care management team. This role will center on ensuring full compliance with CCM billing regulations, driving clinical outcomes through engaged patient relationships, and maximizing patient adherence and data utilization to ethically and effectively support our billing practices.

This position will integrate CCM (Chronic Care Management) and Concierge responsibilities, recognizing that the most impactful care comes from a cohesive, patient-centered approach. The position will work with the staff and Providers.

Responsibilities

Regulatory Compliance & Billing Integrity

Ensure that all RPM, CCM, and RTM activities meet or exceed CMS guidelines and compliance standards.

Maintain detailed documentation and encounter logs to support billable time and services rendered.

Collaborate with billing and compliance teams to verify proper coding and documentation.

Patient Advocacy & Clinical Support Serve as a primary point of contact for patients enrolled in RPM programs, ensuring understanding of their devices, expectations, and care plans.

Monitor incoming device data, identify concerning trends, and escalate to providers as needed to support timely interventions.

Educate patients on their conditions, medication adherence, lifestyle adjustments, and the importance of consistent device usage.

Patient Engagement & Adherence Optimization

Strategically manage and optimize patient interactions to ethically meet time thresholds for CPT billing codes (99453, 99454, 99457, 99458, 98975, 98976, 98977).

Cross-Program Coordination (CCM/RPM/RTM)

Identify opportunities to enroll patients across CCM, RPM, and RTM programs as clinically appropriate.

Leverage shared tools, workflows, and communications to ensure streamlined and complementary delivery of services.

Work collaboratively with NPs, MAs, and clinical teams to review care plans, prioritize patient outreach, and close care gaps.

Program Growth & Innovation

Support the implementation of new devices, services, and tools as the RPM/RTM program expands.

Provide feedback on device performance, patient satisfaction, and workflow efficiency.

Stay current on best practices and CMS updates related to remote monitoring services.

Qualifications

Required: Clinical background (CMA,MA or equivalent experience in care management).

Knowledge of CMS regulations for CCM compliance.

Exceptional documentation, organizational skills and proficient in EHR

Healthcare/Cardiology

Preferred: Strong interpersonal skills, with a confident but compassionate communication style

Previous experience as a Care Coordinator or in a similar position is preferred

Strong problem-solving and organizational skills

Ability to manage multiple projects or tasks and prioritize appropriately

Ability to work in fast-paced situations and make sound decisions quickly

Excellent interpersonal skills and high level of compassion

Strong verbal and written communication skills

Ideal Candidate Traits

Ambitious, self-directed, and eager to grow with a cutting-edge care model.

Passionate about population health and improving care in a rural setting.

Capable of balancing compliance with compassion and business impact with clinical integrity.

Flexible work from home options available.