Risk Adjustment Admin & Medical Records Specialist

Elevance Health, Inc.; Miami (FL); Ibrido; USD 42.000 - 66.000; Tempo pieno

Descrizione del lavoro

Elevance Health in Florida is seeking a Risk Adjustment Administrative Representative to obtain accurate healthcare information from providers and ensure appropriate payment levels. This role performs highly specialized administrative, operational and customer-support duties.

You will analyze data, assist in medical records acquisition, load records into coding systems, and coordinate data transfer for risk adjustment programs across providers and vendors.

Competenze

• HS diploma or equivalent required.
• 2+ years in medical records retrieval in healthcare settings.
• Equivalent education/experience considered.

Mansioni

• Analyzes data, provider or member outreach, and/or record retrieval.
• Assists in acquiring medical records.
• Loads medical records into coding system and links to chart IDs.
• Facilitates data transfer for risk adjustment programs between providers and the company.
• Downloads medical records from EMR systems remotely and in person.
• Assists with the medical record quality assurance process as necessary.
• Performs or participates in special projects as directed.
• Manages, maintains, and tracks ad hoc retrospective projects.
• Provides medical record retrieval service to value-based groups and providers/groups new to the company.
• Coordinates work across providers and external vendors to meet weekly/yearly goals.
• Travels to worksite and other locations as necessary.

Conoscenze

Microsoft Office proficiency

ICD-9/10 codes knowledge

BA/BS preferred

Formazione

BA/BS preferred

Descrizione del lavoro

Elevance Health in Florida is seeking a Risk Adjustment Administrative Representative to obtain accurate healthcare information from providers and ensure appropriate payment levels. This role performs highly specialized administrative, operational and customer-support duties.

You will analyze data, assist in medical records acquisition, load records into coding systems, and coordinate data transfer for risk adjustment programs across providers and vendors.