Risk Adjustment Coordinator

This is a fully remote position, open to applicants in California.

📋 Description

• Assist in coordinating medical record reviews, ensuring the timely collection and submission of charts for risk adjustment and RADV.

• Maintain tracking logs and documentation systems for medical record requests, including status updates and follow-ups.

• Support outreach and communication with providers to acquire clinical documentation and clarify coding documentation requirements.

• Aid in coordinating quality audits and coding review activities, encompassing documentation preparation and results reporting.

• Collaborate with internal teams involved in risk adjustment, coding specialists, and clinical staff to enhance workflows and support risk adjustment initiatives.

• Prepare and disseminate status reports on risk adjustment tasks, outstanding medical records, and compliance deadlines.

• Engage in special projects or educational efforts focused on risk adjustment documentation and quality improvement.

• Perform additional duties as assigned.

⛳️ Requirements

• A High School diploma or GED is required.

• A strong commitment to working in a collaborative and cooperative environment is essential.

• Demonstrated initiative, sound judgement, and resourcefulness are a must.

• Exceptional written and verbal communication skills are required.

• Strong interpersonal abilities are necessary.

• Outstanding organizational, decision-making, and multitasking skills are essential.

• Proven ability to collaborate effectively with co-workers, senior leadership, and other management personnel.

• Demonstrated capability to prioritize and manage multiple responsibilities concurrently in a fast-paced, evolving environment while adhering to deadlines and turnaround time requirements.

• Ability to work independently while utilizing all available resources within the scope of assigned duties.

• Capacity to maintain confidentiality and discretion when handling sensitive information related to providers, members, business plans, strategies, and other confidential matters.

• Proficiency in Microsoft Office (Word, Excel, PowerPoint) and EZCAP is required.

• Availability to work temporarily for 3 months, with the potential for extension.

• Willingness and ability to work Monday through Friday, from 8:30 AM to 5:30 PM EST.

• Ability to travel frequently to provider sites based on project requirements.

🏝️ Benefits

• Temporary, full-time position for 3 months, with the possibility of extension.

• This is a remote position.

• We are an Equal Employment Opportunity and Affirmative Action employer.

• Reasonable accommodations are available for applicants with disabilities.