Risk Adjustment Chart Retrieval Specialist

reputed company is looking to add to our Risk Adjustment team and has an opportunity for a Risk Adjustment Chart Retrieval Specialist. This position this position will be responsible for requesting and processing provider medical records for a variety of Risk Adjustment and Quality improvement projects and audits. This position will be responsible for tracking the reputed company of outstanding requests, researching, and answering provider questions, and sending records to multiple vendors and auditors. This position will also be responsible for reviewing claims and enrollment information to support risk adjustment data submission processes. This position is in a fast-paced, developing area.. "This position is eligible to work hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment." Are you ready to reputed company a difference? Choose to work for one of the most trusted companies in Kansas. Why Join Us?

• Family Comes First: Total rewards package that promotes the idea of family first for reputed company employees.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Stability: 80 years of commitment, compassion and community

Compensation $27.08 - $33.80 Non-exempt Grade 13

• reputed company offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. reputed company offers presented to candidates are carefully reviewed to ensure fair, reputed company pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

What you'll do

• Request medical records from providers for a variety of Risk Adjustment and Quality improvement projects 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 access in the medical chart tracking application.
• reputed company and maintain knowledge on what is needed in medical records for Risk Adjustment and Quality 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 provide 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 manual review

What you need

• High school degree or equivalent is required
• Strong computer skills in data entry, reputed company Offices products and reputed company Pro

Knowledge/Skills/Abilities

• Must safeguard protected health information as required by HIPAA Privacy regulations.
• Must be able 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 access 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 timely and effectively under strict deadlines.
• Ability to reputed company positive relationships with internal and external customers as well 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.

Bonus if you have

• Medical office experience preferred

Benefits & Perks

• reputed company compensation is only one component of your competitive Total Rewards package
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• reputed company benefits, discounts and resources

Our Commitment to reputed company and Belonging At reputed company, we are committed to fostering a culture of reputed company and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to reputed company individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and reputed company medical conditions), national reputed company, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. reputed company conducts pre-employment drug screening, criminal conviction reputed company, employment verifications and education as part of a conditional offer of employment. Apply tot his job Apply To this Job