{"id":2650109,"url":"https://alion.io/job/healthfirst-clinical-coding-retrieval-coordinator","title":"Clinical Coding Retrieval Coordinator","company":{"id":1794553,"name":"Healthfirst","domain":"healthfirst.org","url":"https://alion.io/company/healthfirst","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":80,"open_postings":16,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":14,"computed_at":"2026-10-23T05:54:15Z"}},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":68900,"max":99620,"currency":"USD","period":"year","gross":null,"usd_annual":99620},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false},{"name":"Microsoft Office","optional":false},{"name":"Outlook","optional":false},{"name":"SOAP","optional":true}],"status":"live","first_seen_at":"2026-10-14T00:00:00Z","employer_posted_date":"2026-10-21","last_verified_at":"2026-10-22T02:06:32Z","board_verified":false,"closed_at":null,"days_open":10,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":10},"description":"The Clinical Coding Retrieval Coordinator is responsible for supporting Healthfirst initiatives and regulatory requirements related to RADV medical records acquisition. This position is provider facing.This position has a hybrid work location: Remote, office based, and in the field as needed. Office location is 100 Church Street, New York.\nDuties & Responsibilities:\nResponsible for expanding and improving medical records acquisition for RADV risk adjustment program\n\nPerforms medical record reviews to ensure medical records are consistent with RADV clinical documentation specifications\n\nEngages in medical record retrieval efforts for RADV and internal audit activities\n\nWorks cross-functionally with Compliance, Risk Adjustment, and HIM teams at different providers and hospitals sites to meet CMS’s retrieval deadlines\n\nEnsures medical records are accurately accounted for, scanned, and saved in the appropriate Healthfirst system\n\nEnsures compliance with CMS RADV medical record documentation requirements\n\nTracks retrieval progress, maintain dashboards, and escalate risks or delays proactively\n\nStrong communication skills are a must in order to maintain collaborative relationships with medical facilities\n\nTravels to providers’ sites and hospitals to obtain medical records\n\nManages issues at a facility level in order to facilitate medical records acquisition\n\nCoordinates multiple audit requests at the same time\n\nProvides detailed updates on regulatory audits, projects, and initiatives to internal stakeholders during status updates meetings\n\nOrganizes and prepares PowerPoint presentations for project status reports\n\nMaintains HIPAA compliance and ensure secure transmission of all PHI\n\nAdditional duties as necessary\n\nMinimum Qualifications:\nHS diploma or GED from an accredited institution\n\n2-3 years in medical record retrieval in a health plan/ provider setting or administrative experience in lieu of health care setting\n\nStrong writing, time management, critical/creative thinking, communication, and problem-solving skills.\n\nStrong working knowledge of Microsoft Office Suite and Outlook\n\nAbility to travel around the NYC metro area, Westchester and Long Island as well as New Jersey, Connecticut and Pennsylvania as necessary.\n\nPreferred Qualifications:\nAssociates degree or higher from an accredited institution\n\nPrior experience in Managed Care/Health Insurance, in a health-related field or environment\n\nProficiency in multiple EMR systems (Epic, eCW, Athena, Cerner, etc).\n\nUnderstanding of CMS RADV requirements and medical record documentation best practices\n\n2-3 years of experience with chart requests/retrievals using Risk Adjustment modeling\n\n2-3 years of experience identifying SOAP notes for different specialties in a hospital, physician, or insurance environment using Risk Adjustment, Commercial, and CRG Models\n\nAdditional Job Description\nStrong attention to detail\n\nFamiliar with multiple EMR systems\n\nProven experience engaging and coordinating with provider offices and hospital HIM departments\n\nAbility to manage high-volume workflows with extreme attention to detail and tight deadlines\n\nCompliance & Regulatory Responsibilities: Noted above\nLicense/Certification: N/A\nWE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLCshallnotdiscriminateagainstanydisabledemployeeorapplicantinregard to any position for which the employee or applicant is otherwise qualified.\nIf you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to  or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.\nKnow Your Rights\nAll hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.\nHiring Range*:\nGreater New York City Area (NY, NJ, CT residents): $68,900 - $99,620\n\nAll Other Locations (within approved locations): $61,300 - $89,440\n\nAs a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.\nIn addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.\n*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.","description_format":"text","description_chars":6263,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Health insurance","Hybrid work","Life insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"},{"name":"New Jersey","iso":null,"kind":"city"},{"name":"Connecticut","iso":null,"kind":"city"},{"name":"New York","iso":null,"kind":"city"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-15T21:22:10Z"}],"visa":[],"liveness":{"score":47,"band":"ok","label":"Likely open","p_open":1,"p_active":0.523,"p_room":0.9,"age_days":9,"expected_fill_days":14,"reasons":["conf:27","stale_co","win:mid","comp:junior"],"computed_at":"2026-10-23T05:54:15Z"},"pay":{"stated_usd_annual":99620,"is_top_pay":true},"html_url":"https://alion.io/job/healthfirst-clinical-coding-retrieval-coordinator","json_url":"https://alion.io/job/healthfirst-clinical-coding-retrieval-coordinator.json","meta":{"generated_at":"2026-10-24T03:53:55Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":6117,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-25T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1794553},"rest":"https://alion.io/mcp/rest/get_company?id=1794553"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhealthfirst-clinical-coding-retrieval-coordinator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhealthfirst-clinical-coding-retrieval-coordinator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhealthfirst-clinical-coding-retrieval-coordinator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/healthfirst-clinical-coding-retrieval-coordinator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhealthfirst-clinical-coding-retrieval-coordinator"}]}