Risk Adjustment Coordinator

  • location: Tampa, FL
  • type: Contract
  • salary: $16.62 per hour
easy apply

job description

Risk Adjustment Coordinator

job summary:
JOB SUMMARY

  • Supports quality improvement interventions by collecting medical records data.
  • Interface via phone, fax and mail with providers and contracted vendors.
  • Maintain confidentiality of protected health information.
ESSENTIAL FUNCTIONS

  • Responsible for all phases of the medical record request process for sensitive providers from identification, outreach, follow up to ultimate disposition.
  • Review medical records for completeness and compliance with CMS guidelines.
  • Follow up with providers as necessary.
  • Coordinate with internal departments (such as Network Management, Provider Relations, Retrospective Review, Claims Recovery) and vendors to ensure timely completion of medical record request to meet departmental goals and CMS deadlines.
  • Participate in process development and testing of new process implementation.
  • Perform all other duties as assigned.
Education

  • A High School or GED Required
Work Experience

  • 1+ year of experience in Relevant work experience Required
Intermediate Microsoft Office Suite skills are required for this position.

 
location: Tampa, Florida
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 1 Years
 
responsibilities:
ESSENTIAL FUNCTIONS ---- Note: The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Responsible for all phases of the medical record request process for sensitive providers from identification, outreach, follow up to ultimate disposition.
  • Review medical records for completeness and compliance with CMS guidelines.
  • Follow up with providers as necessary.
  • Coordinate with internal departments (such as Network Management, Provider Relations, Retrospective Review, Claims Recovery) and vendors to ensure timely completion of medical record request to meet departmental goals and CMS deadlines.
  • Participate in process development and testing of new process implementation.
  • Perform all other duties as assigned.
 
qualifications:
Additional Position Responsibilities - Optional ---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required
Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 1+ year of experience in Relevant work experience Required
Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

Demonstrated problem solving skills Intermediate

Demonstrated interpersonal/verbal communication skills Advanced

Demonstrated written communication skills Intermediate

Demonstrated organizational skills Intermediate

Demonstrated time management and priority setting skills Intermediate Demonstrated problem solving skills Intermediate

Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

Microsoft Outlook Intermediate Required

Microsoft Word Intermediate Required

Microsoft Excel Intermediate Required

Adobe Acrobate Intermediate Required

 
skills: Other
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

easy apply

get jobs in your inbox.

sign up
{{returnMsg}}

related jobs



    Pricing Coordinator

  • location: Tampa, FL
  • job type: Contract
  • salary: $15 per hour
  • date posted: 9/26/2019