Astrana Health

Risk Adjustment Coordinator

Astrana Health

full-time

Posted on:

Location Type: Hybrid

Location: Monterey Park • California • United States

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Salary

💰 $20 - $26 per hour

About the role

  • 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.
  • Other duties as assigned

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.
Benefits
  • The national target pay range for this role is $20 - $26 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybrid** **work structure where the expectation is to work at home on a daily basis, with travel up to 50% of the time as needed in the surrounding areas within Inland Empire.
  • Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical records collectiondata organizationreport preparationmeeting minutes summarizationE-Fax distributionHIPAA principlesRisk AdjustmentCMS standards
Soft Skills
collaborationinitiativejudgementresourcefulnesswritten communicationoral communicationinterpersonal skillsorganizational skillsdecision-makingmulti-tasking
Certifications
High School diplomaGED