The coordinator will coordinate preventive healthcare and promote compliance with guidelines through member outreach via phone, mail, and events, serving as a liaison between the health plan and various external parties. This role also involves assisting members with scheduling and follow-up services, improving health outcomes, and acting as a subject matter expert for complex member issues.

The role involves performing cross-coverage for admitted patients by assessing health status, analyzing data, and formulating individualized plans of care in collaboration with the multidisciplinary team. Responsibilities also include ordering necessary diagnostics, initiating referrals, fostering efficient patient flow, completing timely documentation, and providing patient/family education.

The Balancing Coordinator will handle administrative and order management tasks related to Company HVAC hydronic/balancing solutions, working closely with the outside sales team. Key duties include acting as a liaison for inquiries, serving as a subject matter expert for quotes, and managing all quote/order related activities accurately and timely.

The specialist will assess health record documentation to ensure assigned codes support all diagnoses and procedures, applying knowledge of clinical processes and terminology to assign accurate ICD-10 and CPT codes, particularly for surgical procedures in inpatient, observation, and day surgery settings. This role also involves performing charge data entry into patient accounting systems and consulting with various hospital personnel regarding coding and billing accuracy.