About this role
We are currently seeking a highly motivated Risk Adjustment Coordinator to support our team in retrieving medical records from providers in the San Diego region! The Risk Adjustment Coordinator is responsible for retrieving records from EMR systems, as well as in-office from physician offices. We are seeking candidates who are comfortable working hybrid, both from home and traveling into provider offices throughout San Diego. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team 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