Risk Adjustment Coordinator

Astrana Health, Inc.•Monterey Park, CA

4d•$20 - $26•Hybrid

About The Position

We are currently seeking a highly motivated Risk Adjustment Coding Specialist. 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. Anticipated travel is approximately 25-50% of work time Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team

Requirements

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.

Responsibilities

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.