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Medical Management Coordinator Jobs (NOW HIRING)

DOCS, LLC

Care Management Coordinator

New Albany, OH · On-site

Care Management Coordinator Company Overview At DOCS Dermatology Group, we are not just one of the ... Our mission is clear: to prioritize our patients with outstanding medical, surgical, and cosmetic ...

DOCS, LLC

Care Management Coordinator

Dublin, OH · On-site

Care Management Coordinator Company Overview At DOCS Dermatology Group, we are not just one of the ... Our mission is clear: to prioritize our patients with outstanding medical, surgical, and cosmetic ...

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Medical Management Coordinator information

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How much do medical management coordinator jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical management coordinator in the United States is $23.06, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $26.44 per hour, depending on experience, location, and employer.

What is the difference between Medical Management Coordinator vs Medical Case Manager?

AspectMedical Management CoordinatorMedical Case Manager
CredentialsTypically requires a nursing license or healthcare certificationOften requires a nursing license, social work, or healthcare-related certification
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsHospitals, clinics, insurance companies, or community health agencies
Primary FocusCoordinating medical services, managing patient care plans, and facilitating communicationAssessing patient needs, developing care plans, and advocating for patients' health

Both roles involve coordinating patient care and require healthcare-related certifications. However, Medical Management Coordinators focus more on administrative coordination within healthcare organizations, while Medical Case Managers emphasize direct patient assessment and care planning. They often work in similar environments and serve overlapping functions, but their specific responsibilities and credentials differ slightly.

What is a medical management coordinator?

A medical management coordinator is a healthcare professional responsible for organizing and overseeing patient care plans, coordinating communication among medical providers, and ensuring compliance with treatment protocols. They often work with electronic health records (EHR) systems and may require knowledge of healthcare regulations and certifications such as medical billing or case management. The role typically involves administrative tasks and collaboration within healthcare teams to improve patient outcomes.

How does a medical management coordinator typically interact with healthcare providers and insurance teams?

Medical Management Coordinators regularly serve as liaisons between healthcare providers, patients, and insurance teams to ensure appropriate care is delivered efficiently. They facilitate communication regarding treatment plans, authorization processes, and care coordination, often troubleshooting any delays or misunderstandings. This role requires strong organizational and interpersonal skills, as coordinators must balance the needs of medical staff, insurance requirements, and patient care priorities. Effective collaboration is essential for ensuring timely approvals and optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a medical management coordinator, and why are they important?

To thrive as a Medical Management Coordinator, you need a solid understanding of healthcare processes, case management, and medical terminology, often supported by a degree in nursing or a related health field. Familiarity with care management software, health insurance systems, and sometimes certification like CCM (Certified Case Manager) are typically required. Strong organizational skills, attention to detail, and effective communication set top performers apart in this role. These skills are crucial for ensuring coordinated, efficient care and supporting positive patient outcomes within healthcare organizations.

What does a medical management coordinator do?

A Medical Management Coordinator is responsible for supporting healthcare management programs by coordinating patient care, handling authorizations, and facilitating communication between patients, providers, and insurance companies. They often assist with case management, ensuring that patients receive appropriate and timely medical services, and help monitor the quality and cost-effectiveness of care. Their role is crucial in streamlining processes and improving patient outcomes within healthcare organizations.

How much does a medical management coordinator make in the US?

The average annual salary for a medical management coordinator in the US is approximately $45,000 to $60,000, depending on experience, location, and employer. Many roles require strong organizational skills and knowledge of healthcare systems, with some positions offering additional benefits or bonuses.
What cities are hiring for Medical Management Coordinator jobs? Cities with the most Medical Management Coordinator job openings:
What are the most commonly searched types of Medical Management jobs? The most popular types of Medical Management jobs are:
What states have the most Medical Management Coordinator jobs? States with the most job openings for Medical Management Coordinator jobs include:
Medical Management Coordinator jobs near you

DENIALS MANAGEMENT COORDINATOR

Archbold Medical Center

Thomasville, GA • On-site

Full-time

Re-posted 27 days ago

Job description

Denials Management Coordinator - Revenue Integrity

Description:

Responsible for developing, implementing and managing a centralized program to promote greater efficiency with completing, tracking, and reporting coding and retro audit reviews to determine the appropriate appeal of patient accounts.

Combines clinical, business, and regulatory knowledge and skill to reduce significant financial risk and exposure caused by denial and audit of claims billed for rendered services.

Through continuous assessments, problem identification, and education, this individual facilitates the quality of health care delivery in areas of inpatient coding, DRG, outpatient, professional coding, medical necessity, government, and commercial payer requirements.

Furthermore, the individual routinely analyzes data related to payer audit and denial trends specific to coding-denial and takeback concerns.

This position works closely with HIM and CDI as well as key stakeholders across Revenue Cycle.

Responsibilities:

  • Reviews and analyzes current audit information to identify opportunities for improvement internally and payers.
  • Maintains reporting specific to audit statuses, identifying internal and payer patterns to better manage payer issues proactively.
  • Update and maintain audit tracking spreadsheets outside of RAC software.
  • Develop and maintain procedural documentation.
  • Identify and resolve system and payer issues that result in payment delays, incorrect payments.
  • Service as a PFS, PAS, HIM, Compliance, Contract Management, Clinical Liaison to third party payers, and other parties in a problem-solving or information capacity.
  • Monitor deadlines and ensure all parties meet timely filing for appeal deadlines.
  • Assist with auditing involving any third-party commercial payer.
  • Participate in payer meetings to discuss appeal progress and identify trends with payer processing appeals to resolve cases.
  • Establish and enforce internal audit policies including pre-payments audits.
  • Collect and analyze data from audits and concurrent reviews to identify recurring problems.
  • Acts as a coordinator and mentor to RID Denial Staff.

Education/Experience:

Minimum of an Associate’s Degree in Business, Paralegal Studies, Coding, Healthcare, or related field.

Two (2) years of relevant experience in Compliance, Coding, HIM, Insurance denials, or Legal experience may be considered in lieu of an Associate’s degree

Minimum three (3) years’ experience within the healthcare field performing any variety of organizational, administrative, or process improvement functions.

Preferred experience:

Experience in compliance, coding, insurance denials, and/or a legal setting.

Experience or background in denials management.

Experience working with 3rd party payers.

Licenses/Certifications: None Required

Required Skills, Knowledge, and Abilities:

  • Excellent oral and written communication skills.
  • Establish and maintain professional and cooperative relationships.
  • Efficient and effective analytical skills.
  • Ability to research regulatory requirements.
  • Effective human relations abilities.
  • Proficiency with Microsoft applications and other applicable software and database management applications.
  • Effective problem-solving abilities.
  • Strong ability to effectively collaborate alliances and promote teamwork.

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