Clinical Quality Coordinator

Applicants must apply with an active, current email and phone number.

Hale County Health Care Authority is a certified drug-free workplace. All potential new hires must undergo a background check and drug screening before employment.

Hale County Hospital Clinic

508 Greene Street,Greensboro, AL 36744

Monday-Friday from 8AM-5PM

Full-Time; 40 hours a week

This job description covers the most significant duties performed but does not exclude other work assignments not mentioned.

The Clinical Quality Coordinator is responsible for supporting and coordinating clinical quality improvement activities across the organization’s outpatient clinics:
Hale County Hospital Clinic & Moundville Medical Associates. This position works closely with providers, nurses, medical assistants, registration staff, clinic leadership, administration, and insurance payer representatives to identify and close gaps in care, improve preventive and chronic-care measures, and support accurate clinical documentation.

This position requires a Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA) with strong clinical knowledge, excellent organizational skills, and experience working with electronic health records, patient data, quality measures, and insurance-related clinical initiatives. The ideal candidate must also be highly proficient in Microsoft Excel and comfortable managing large patient lists, reports, spreadsheets, and multiple payer portals.

• Monitor quality measures and care gaps across Medicare Advantage, Medicaid, commercial insurance, and other applicable patient populations using payer reports, dashboards, and electronic health records.
• Identify outstanding preventive and chronic-care needs, including wellness visits, cancer screenings, diabetes care, kidney health, blood pressure control, medication reconciliation, and immunizations.
• Track completion and documentation of ordered screenings, testing, referrals, and other services; investigate discrepancies and obtain outside records to verify completed care.

• Serve as a resource for payer quality initiatives, participate in payer meetings, prepare relevant reports, and track follow-up items.
• Navigate insurance portals to review patient quality information and upload records or supporting documentation for gap closure.
• Review provider rosters and patient attribution lists, addressing discrepancies with the appropriate payer.

• Use Athena One or the designated electronic health record to review patient charts and reconcile clinical information with payer quality reports.
• Identify missing, incomplete, or incorrect documentation and guide staff on appropriate structured documentation to accurately capture completed services.

• Coordinate quality-focused pre-visit planning, review upcoming schedules, and provide care-gap information to clinical staff.
• Work with nurses and medical assistants to incorporate quality opportunities into routine chart preparation.
• Educate staff on quality measures, documentation, payer requirements, and workflows; develop resources and provide individual assistance as needed.

This position supports, educates, and monitors the quality process while each provider’s assigned nurse or medical assistant remains responsible for routine chart preparation, triage, and clinical duties.

• Maintain accurate patient rosters, quality reports, and outreach lists in Microsoft Excel; reconcile multiple data sources, remove duplicates, and update completed measures and inactive patients.
• Coordinate with registration…