Risk Adjustment Coordinator *Hybrid*
Description
Job Title: Risk Adjustment Coordinator
Department: Quality - Risk Adjustment
Department: Quality - Risk Adjustment
About the Role:
The Risk Adjustment Coordinator is responsible for communicating with providers and providing services to a wide range of internal and external contacts. Anticipates and resolves problems, update manager on status of projects and support team.
What You’ll Do:
- Contact and collect medical records documentation for coders.
- 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.
Qualifications:
- 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.
- Must be able to travel 25% of work time.
- Proficient with Microsoft Office (Word, Excel, Power Point) and EZCAP.
Who We Are:
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
- Patients First
- Empowering the Independent Provider
- Be Innovative
- Operate with Integrity & Deliver Excellence
- Team of One
Environmental Job Requirements and Working Conditions:
- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1680 S. Garfield Avenue, Alhambra, CA 91801
- The total compensation target pay range for this role is $21.00 - $25.00 per hour. This salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.