Risk Adjustment Coordinator

Astrana Health

Risk Adjustment Coordinator supporting Astrana Health in retrieving medical records from physicians. Involves working hybrid and accommodating travel within the Inland Empire region.

Posted 4/14/2026full-timeMonterey Park • California • 🇺🇸 United StatesMid-LevelSenior💰 $20 - $26 per hourWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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.

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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