Risk Adjustment Coordinator

  • location: Tampa, FL
  • type: Contract
  • salary: $16.62 per hour
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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 ---- 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.
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
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
Languages ---- List all that apply ---- Languages Other Languages Required/Preferred

Attention to detail is key. Work involves intake, converting files, logging information into database. Daily repetition.

 
location: Tampa, Florida
job type: Contract
work hours: 8 to 5
education: High School
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
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.

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