Risk Adjustment Records Specialist

The Elevance Health Companies, Inc.; Grand Prairie (TX); Hybrid; USD 52,000 - 78,000; Full time

Job summary

Elevance Health seeks a Risk Adjustment Administrative Representative to obtain and organize medical records for accurate patient care and payments. The role supports risk adjustment programs by loading records, linking them to chart IDs, and coordinating data transfers with providers and internal teams.

The position requires at least a high school diploma and 2 years in medical records retrieval or healthcare administration.

Qualifications

• Requires H.S. diploma or equivalent and a minimum of 2 years of experience in medical records retrieval or related healthcare administration.
• BA/BS in healthcare, business or similar discipline preferred.
• Proficiency in Microsoft Office applications, especially Word and Excel, strongly preferred.

Responsibilities

• Obtain accurate healthcare information from providers to support member care and payment accuracy.
• Load medical records into coding system and link to chart IDs.
• Assist in medical record retrieval and data transfer for risk adjustment programs.
• Travel to worksite or other locations as needed and manage ad hoc retrospective projects.

Skills

Data analysis

Communication

Attention to detail

Microsoft Word

Microsoft Excel

Education

High school diploma

BA/BS in healthcare or business

Tools

Microsoft Word

Microsoft Excel

Job description

Elevance Health seeks a Risk Adjustment Administrative Representative to obtain and organize medical records for accurate patient care and payments. The role supports risk adjustment programs by loading records, linking them to chart IDs, and coordinating data transfers with providers and internal teams.

The position requires at least a high school diploma and 2 years in medical records retrieval or healthcare administration.