Revenue Cycle Coordinator Quality

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.

• 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.

• 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.

• 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.

• 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.

• Associate’s degree preferred.

• 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.

• 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.

• Understanding of ICD‑10, CPT, HCPCS, E/M guidelines, and coding documentation requirements.
• Knowledge of revenue cycle workflows and medical record documentation…