Cano Health

Coordinate and improve clinical documentation quality and coding accuracy through education, review, and collaboration with clinical and coding staff. | Minimum 2 years coding experience with AAPC/AHIMA certifications, 2 years QA experience, proficiency in Microsoft Office, strong communication and organizational skills. | It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The QA Coordinator, Coding & Billing QA collaborates extensively with physicians, nursing staff and coding staff to improve the quality and completeness of patient care documentation provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to ensure commensurate reimbursement of clinical severity and services rendered to patients with a Diagnosis Related Group based payer (Medicare, Medicaid). Essential Duties & Responsibilities • Educates coding team on CMS coding guidelines and appropriate Risk Adjustment procedures to ensure adherence to CMS standards. • Build and generate reports from the EMR system. • Review concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI) and quality. • Will coach coders as assigned by regions, providing guidance on their daily workflow activities. • Effectively and appropriately communicates with staff as necessary to ensure appropriate, accurate and complete clinical documentation, as well as prevention of inappropriate coding. • Participate in meetings, including feedback on outstanding issues, presentations for educational opportunities and any other needs identified. • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. • Communicates with and educates all physician and clinical staff concerning accurate and effective clinical documentation. • Facilitate the overall quality and completeness of the clinical documentation to accurately represent the severity, acuity, and risk of mortality profile of the patient being treated. • Collaborates with data teams to identify any potential gaps related to Risk Adjustment. • Works with the QA team to ensure the proper education is maintained and that the chronic conditions are captured appropriately. Additional Duties & Responsibilities • Knowledge: Prior knowledge with ECW, coding guidelines, Microsoft Office platforms, fluency in English and Spanish (preferred). • Collaborates: Engages with our Cano team, other medical offices, insurance companies and patients to ensure that the best patient care is achieved. Education & Experience • Minimum two (2) years prior coding experience with AAPC/AHIMA certifications • Minimum two (2) years prior QA experience • Proficient in Microsoft Word and Excel • Strong organization, training, and process management skills • Strong collaboration and relationship building skills • Excellent written and verbal communication skills • Ability to learn new tasks and concept. Required/Preferred Education Requirements Education Level Discipline Required High School Knowledge, Skills & Proficiencies • The ability to analyze and interpret the clinical information in the patient’s medical record. • Recognizes opportunities for documentation improvement using strong critical thinking • skills. Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance. • A working knowledge of DRG formulation, Coding Guidelines and Coding Clinic guidance. • Strong written and verbal communication skills demonstrated by the ability to effectively • communicate with physicians and other clinicians. • Knowledge of healthcare regulations, reimbursement, and documentation requirements. • Applies medical terminology and medical procedures to properly evaluate clinical documents. Physical Requirements This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include the ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work Conditions Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing Travel Requirements Amount of Expected Travel Details Yes 0-25% Work may involve some driving/traveling to assigned clinics. Tools & Equipment Used Computer and peripherals, standard and customized software applications and tools, and usual office equipment. Disclaimer The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Join our team that is making a difference! Please see Cano Health’s Notice of E-Verify Participation and the Right to Work post here

Perform front desk administrative duties including greeting patients, scheduling appointments, verifying insurance, managing communications, and maintaining office supplies. | High school diploma or equivalent, at least 1 year medical facility experience, knowledge of medical insurance and/or electronic medical records, bilingual English/Spanish preferred. | It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The front desk coordinator performs routine clerical, secretarial and administrative work in answering telephones, receiving the public, providing customer assistance, data processing, and record-keeping. Duties & Responsibilities Essential Duties & Responsibilities • Interact appropriately with patients and record information while greeting, checking-in, checking-out or scheduling appointments for patients. • Utilize computer programs to add new patients, check patients in and out, print out relevant forms for processing, and schedule appointments. • Handling incoming calls, take detailed and accurate messages, and ensure messages are directed to the appropriate individual. • Clearly communicate information to our patients, visitors and staff. • Verify patient insurance via phone or website and collect any necessary payment for services. • Updating patient EHR as needed. • Helping organize and maintain office common areas. • Maintain supply inventory and alert manager when supply is low. • Aiding patients as needed. Additional Duties & Responsibilities • Send correspondence via email, fax, USPS or FedEx. • Any other duties as assigned by supervisor. Education & Experience • High School Diploma or equivalent. • At least one (1) year of experience in a medical facility, plus working knowledge of medical insurance and/or knowledge of electronic medical record are preferred. Knowledge, Skills & Proficiencies • Skill in operating phones, personal computer, software and other IT systems. • Skill in oral communication • Ability to work in a fast paced environment. • Ability to communicate with employees, patients and other individuals in a professional and courteous manner. • Ability to pay close attention to detail and to ensure accuracy of reports and data. • Fluent in English and Spanish Job Requirements Physical Requirements This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Travel Requirements Travel Required Amount of Expected Travel Details Work will involve some driving/traveling to assigned clinics. Tools & Equipment Used Computer and peripherals, standard and customized software applications and tools, and usual office equipment. Disclaimer The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Join our team that is making a difference! Please see Cano Health's Notice of E-Verify Participation and the Right to Work post here

Manage front desk operations including patient intake, appointment scheduling, insurance verification, data accuracy, and communication to support clinical teams. | High school diploma, minimum 1 year healthcare office experience, knowledge of medical insurance and EMR systems preferred, Microsoft Office proficiency, and strong communication skills. | It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Front Desk Coordinator serves as the first point of contact for patients, visitors, and callers at the clinic. This role is responsible for providing exceptional customer service while performing a range of administrative, clerical, and data entry duties, including patient intake, insurance verification, and appointment scheduling. The Coordinator ensures smooth front-desk operations and supports the clinical team in delivering high-quality, patient-centered care. Administrative Responsibilities Essential Duties & Responsibilities • Patient Intake and Onboarding • Create new patient profiles in the EMR system. • Conduct welcome calls and schedule initial appointments. • Mail welcome packages to new patients. • Obtain required annual consents and patient signatures. • Encourage and assist patients with Patient Portal enrollment. • Coordinate translation services as needed (e.g., Propia app). Scheduling and Visit Management • Greet patients and visitors warmly, creating a welcoming and professional environment • Address patients concerns or complaints and escalate issues appropriately • Schedule a variety of appointments (e.g., TOC, AWVs, sick visits, in-house services). • Master scheduling workflows, including same-day visit protocols. • Follow all scheduling guidelines; act as the “Pit Boss” of the schedule. • Obtain Health Center Manager approval for scheduling exceptions (e.g., double-booking). • Assist with appointment confirmation calls and transportation scheduling. • Reschedule all no-shows within 24 hours. • Update visit status types in the EMR (eCW) promptly. • Support scheduling for special events (e.g., mammogram and DRE campaigns). Data Accuracy & System Proficiency • Perform demographic verification during patient check-in. • Ensure accurate entry of demographics, insurance, and Patient Hub information. • Scan and file all documents and ID photos correctly. • eFile documents within 48 hours of receipt. • Monitor fax inbox for incoming clinical documents. • Clear Jellybean inboxes daily. Insurance and Financial Transactions • Document insurance verification results in the EMR. • Collect co-payments and coinsurance in accordance with policy. • Run and reconcile end-of-day financial reports. Outbound Communications and Follow-up • Make outbound calls to support care initiatives (e.g., AWVs, HEDIS screenings). • Follow up with patients within 3–7 days post-discharge to confirm TOC appointments. • Confirm follow-up appointments and ensure referral coordination at check-out. Phone Operations • Answer and route incoming calls appropriately. • Take messages, assist callers, and properly document/disposition each call. • Respond to inquiries in person, over the phone and via email with professionalism and accuracy Additional Duties & Responsibilities • Supports operations, patient/client experience, and communication at the center level. • Keep the front desk, lobby and patient facing areas clean, organized and well stocked Monitor and request office supplies as necessary • Complete other duties at the discretion of management," or "Perform all other duties assigned by supervisor or manager. Education & Experience • High School Diploma or equivalent required. • Minimum of one (1) year experience in a healthcare or medical office setting. • Knowledge of medical insurance, Medicaid/Medicare, and EMR systems preferred. • BLS Certification, be able to respond to medical emergencies (Preferred) • Training in gait support, proper lifting techniques, and ADA compliance. • Microsoft Office Suite: Power BI, Excel, Word, Teams, PowerPoint. Required/Preferred Education Requirements Education Level Discipline Required High School Diploma Knowledge, Skills & Proficiencies • Microsoft Office Suite: Power BI, Excel, Word, Teams, PowerPoint. • Strong communication and customer service skills. • Detail-oriented with a commitment to data accuracy. • Ability to multitask in a fast-paced clinical environment. • Technical proficiency in all required systems and software tools. • Electronic Medical Records (EMR) system (e.g., eCW) – Superuser level. • Call Center Communications system - (Ring Central) • Transportation scheduling software (e.g., TripMaster). • Oracle (Expenses). • Health Plan, Specialist, and Diagnostic Center Portals. • HR platform (e.g., Workday). • Availity and other insurance/eligibility portals. • Alarm and security monitoring systems. • Bilingual (English and Spanish) preferred. • Cano.Net ticketing system. Job Requirements Physical Requirements This position works under usual office conditions. The associate is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work Conditions Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing Travel Required Amount of Expected Travel Details Yes 0-25% Flexibility to travel to clinical sites as needed Tools & Equipment Used Computer and peripherals, standard and customized software applications and tools, and usual office equipment. Disclaimer The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Join our team that is making a difference! Please see Cano Health’s Notice of E-Verify Participation and the Right to Work post here