Risk Adjustment Coordinator - San Diego (TEMP)

Description

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• Contact and collect medical records onsite from Provider’s offices or via EMR access documentation for coders/audits/sweeps retrieval 
• Collect and summarize meeting minutes from the meeting.
• Coordinate office activities (such as scheduling meeting for internal/external and provider visit)
• Prepare reports for the meeting (weekly/monthly or quarterly, if needed)
• Distribute E-Fax
• Responding to emails and faxes specifically to the team
• Create/update monthly list for Active Members/Member Without Office Visit in IPA folder.
• Receive and organize data from external sources.
• Understand the principles of HIPAA and maintain confidentiality of patient health information.
• Understand the principles of Risk Adjustment based CMS standards.
• Communicate internally and externally as needed to gather necessary data.
• Attend provider and interdepartmental calls in accordance with exceptional customer service.
• Promotes a positive working relationship between NMM, IPAs, and health plan.
• Attend IPA and health plan meetings as required and respond to questions/inquiries in a timely manner.
• Performs duties in a professional manner, utilizing time and resources efficiently.
• Other duties as assigned

Qualifications

• Must be able to travel up to 50% of work time.
• High School diploma or GED required.
• Must value operating in a collaborative and cooperative environment.
• Ability to show initiative, good judgement, and resourcefulness.
• Excellent written and oral communication skills, as well as strong interpersonal.
• Excellent organizational, decision-making, and multi-tasking skills.
• Excellent presentation, verbal and written communication skills and ability to collaborate with co-workers, senior leadership, and other management.
• Proven ability to prioritize and organize multi-faceted/multiple responsibilities simultaneously in a fast paced, changing environment while meeting deadlines and turnaround time requirements.
• Must be able to work independently utilizing all resources available while staying within the boundaries of duties.
• Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information is required.
• Proficient with Microsoft Office (Word, Excel, Power Point) and EZCAP.

Environmental Job Requirements and Working Conditions

• The national target pay range for this role is $20 - $26 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
• This is a temporary, full-time position. We are seeking candidates who can work temporarily for 3 months, with possibility of extension. 
• This role follows a hybridwork structure where the expectation is to work at home on a daily basis, with travel up to 50% of the time as needed in the surrounding areas within San Diego.