Revenue Cycle Coordinator - Quality

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Our Billing Co LLC

Revenue Cycle Coordinator - Quality

Buffalo, NY
Full Time
Paid
  • Responsibilities

    The Revenue Cycle Coordinato r - Quality supports the Quality Department by coordinating internal and external audit activities, supplying audit samples, and facilitating communication between the audit vendor and internal teams. This role ensures that selected claims are accurate and complete, tracks audit outcomes, and provides results to the Quality Educator, playing a key part in monitoring coder and provider performance and identifying trends. In addition, the Revenue Cycle Coordinator - Quality assists with departmental operations, maintains organized workflows that promote quality improvement initiatives, and collaborates with internal stakeholders to support quality‑related processes. Success in this role requires strong organizational skills, attention to detail, and effective communication abilities.

    Essential Functions

    Audit Coordination

    • Serves as the primary liaison between the external audit vendor and the internal Quality Department.
    • Prepares and submits all claims, documentation, and medical records required for vendor audits, ensuring accuracy and completeness.
    • Ensures all audit submissions meet vendor timelines and quality expectations.
    • Receives audit results and routes findings to the Quality Educator and relevant stakeholders.
    • Partners with Coding and other internal teams to maintain efficiency and continuity in audit workflows.
    • Ensures confidentiality, accuracy, and secure handling of all information transmitted for audit purposes.

    Quality Monitoring & Data Coordination

    • Maintains audit schedules, dashboards, tracking logs, and follow‑up timelines to support ongoing quality monitoring.
    • Assists in identifying patterns, risks, and recurring documentation or coding issues through analysis of audit outcomes.
    • Supports compilation of data used for monitoring departmental metrics and quality trends.
    • Collaborates with the Quality Educator to ensure audit findings inform future education and process improvements.
    • Helps identify opportunities for process enhancement within the Quality Department and recommends improvements.

    Department Coordination & Internal Collaboration

    • Acts as a central coordinator for Quality Department processes, ensuring tasks, timelines, and deliverables remain on track.
    • Assists in organizing and maintaining quality‑related documentation, schedules, resources, and departmental workflows.
    • Facilitates communication between the Quality Department and internal stakeholders—including Coding, Billing, and Operations.
    • Ensures timely distribution of quality updates, process changes, and required documentation.
    • Serves as a point of contact for inquiries related to quality processes, routing questions to the appropriate team members as needed.
    • Supports relationship‑building across teams to strengthen cross‑departmental quality workflows.

    Operational & Administrative Support

    • Generates reports, summaries, audit extracts, and presentation materials for leadership and internal stakeholders.
    • Coordinates documentation and materials needed for department projects, meetings, education sessions, and quality initiatives.
    • Ensures secure handling, accuracy, and confidentiality of all quality‑related information.
    • Supports onboarding preparation for new Quality Department team members as needed.
    • Performs additional administrative and operational duties to support daily departmental needs and overall quality goals.

    Education and Experience/Certification or License

    Education

    • Associate’s degree preferred.

    Work Experience

    • Two (2) to three (3) years of experience in medical coding, billing, revenue integrity, or related quality/compliance functions.
    • Experience preparing or coordinating audits preferred.
    • Experience in large health systems or multi‑entity environments is a plus.

    Certifications (Preferred)

    • Certified Professional Coder (CPC)
    • Certified Coding Specialist (CCS)
    • Other AAPC or AHIMA coding credentials (CEMC/RHIT)

    Must maintain all required professional certifications and credentials in good standing throughout employment.

    **Knowledge, Skills and Abilities
    **

    • Understanding of ICD‑10, CPT, HCPCS, E/M guidelines, and coding documentation requirements.
    • Knowledge of revenue cycle workflows and medical record documentation structures.
    • Strong organizational skills with the ability to manage multiple competing deadlines.
    • Excellent communication skills (written and verbal) to coordinate across departments.
    • High level of accuracy, attention to detail, and data integrity.
    • Proficient in Microsoft Excel, Word, Teams, and EHR navigation workflows.
    • Ability to maintain confidentiality and handle sensitive information.
    • Maintains current knowledge of coding standards and regulatory requirements through regular self-directed education and professional development.

    Physical Requirements/Working Conditions

    This position may require occasional travel for meetings or training sessions

    Our Billing Co. offers a competitive benefits package.

    Pay range: $27 - $35 per hour

    Individual annual salaries/hourly rates will be set within job's compensation range, and will be determined by considering factors including, but not limited to market data, education, experience, qualifications, and experience, qualifications, and expertise of the individual and internal equity considerations.

    This position requires constant sitting in an office environment. Employees may be asked to occasionally perform other movements or physical tasks. Workplace accommodations may be available for employees in accordance with the Americans with Disabilities Act.