Risk Adjustment Medical Records Specialist

Elevance Health, Inc.; Tampa (FL); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Elevance Health 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/or customer support duties.

You will analyze data, assist in the acquisition of medical records, load records into coding systems, and facilitate data transfer across risk adjustment programs with providers and the company. Travel to worksites as needed.

Qualifications

• Requires a high school diploma or equivalent with 2+ years of medical records retrieval experience.
• BA/BS in healthcare, business, or related field preferred.
• Proficiency in Microsoft Office; strong Excel skills are a plus.
• Knowledge of ICD-9/10 coding is preferred.

Responsibilities

• Analyze data, provider or member outreach, and record retrieval.
• Assist in acquiring medical records and load them into coding systems.
• Coordinate data transfer for risk adjustment programs with providers and Elevance Health.
• Travel to worksite or other locations as needed to obtain records.
• Support medical record quality assurance and special projects.

Skills

Microsoft Office

ICD-9/10 knowledge

Medical records retrieval

Education

High school diploma or equivalent

BA/BS in healthcare or business

Tools

Microsoft Word

Microsoft Excel

Job description

Elevance Health 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/or customer support duties.

You will analyze data, assist in the acquisition of medical records, load records into coding systems, and facilitate data transfer across risk adjustment programs with providers and the company. Travel to worksites as needed.