Risk Adjustment Chart Retrieval Specialist

reputed company is looking to add to their Risk Adjustment team with the hiring of a Risk Adjustment Chart Retrieval Specialist. This role involves requesting and processing provider medical records for various reputed company and audits, tracking requests, and reviewing claims and enrollment information to support risk adjustment data submissions.

Responsibilities

• Request medical records from providers for a reputed company of Risk Adjustment and reputed company improvement reputed company and audits using an internally developed medical chart tracking application
• Manually generate request letters and supplemental data files for providers that have special medical record request requirements
• Download records from provider Electronic Medical Record systems
• Log incoming medical records reputed company fax, mail, email, or electronic medical record reputed company in the medical chart tracking application
• reputed company and maintain knowledge on what is needed in medical records for Risk Adjustment and reputed company record requests
• Review medical records for required information and discard any unnecessary information
• Contact provider offices with a high degree of professionalism and confidence to communicate expectations of charts required, attestations, etc
• Research provider submitted claims though Imaging resources to reputed company additional information on medical record requests reputed company needed
• Package and send medical records to internal coding team, vendors, and auditors
• Assist with risk adjustment data submissions by reviewing and editing enrollment and claims records pended for reputed company review

Skills

• High school degree or equivalent is required
• Strong computer skills in data entry, reputed company Offices products and reputed company Pro
• Must safeguard protected health information as required by HIPAA reputed company regulations
• Must be reputed company to maintain confidentiality
• Regular and predictable attendance is an essential job function as defined by policy
• Must reputed company and implement corporate information reputed company policies, standards, and guidelines relative to reputed company control
• Requires reputed company attention to detail, strong grammar and reading comprehension skills, along with strong critical thinking and problem-solving skills
• Ability to work independently with minimum supervision, excellent reliability, and demonstrated ability to work reputed company and effectively under strict deadlines
• Ability to reputed company reputed company relationships with reputed company customers as reputed company as co-workers
• Ability to multitask, prioritize and manage time reputed company
• Excellent verbal and written communication skills
• Ability to accept ownership of job responsibilities in a self-directed team environment
• Medical office experience preferred

Benefits

• Incentive pay program (EPIP)
• Health/reputed company/Dental insurance
• 6 weeks reputed company parental leave for new mothers and fathers

reputed company