Risk Adjustment Coordinator

🔥 5 minutes ago

🏄 California – Remote

infoinfo

💵 $22 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

Where this job comes from

Posted on Astrana Health's careers page, not through a job board

First seen by Remote Rocketship 5 minutes ago

Logo of Astrana Health

Astrana Health

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Astrana Health is a healthcare company that operates community-focused clinics and a provider-facing technology platform to coordinate care across primary, urgent, and multi-specialty services. It supports providers and local communities by streamlining access to care, automating prior authorizations, and connecting patients with in-network clinicians. Astrana combines clinical services with doctor-built technology to improve patient experience and provider workflows.

📋 Description

• Assist with medical record review coordination, ensuring timely collection and submission of charts for risk adjustment and RADV • Maintain tracking logs and documentation systems for medical record requests, status updates, and follow-ups • Support provider outreach and communication to obtain clinical documentation and clarify coding documentation requirements • Help coordinate quality audits and coding review activities, including documentation preparation and results reporting • Collaborate with internal risk adjustment, coding specialist, and clinical teams to improve workflows and support risk adjustment processes • Prepare and distribute status reports on risk adjustment tasks, outstanding medical records, and compliance deadlines • Participate in special projects or educational efforts related to risk adjustment documentation and quality improvement • Perform other duties as assigned

🎯 Requirements

• 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 • Strong interpersonal skills • Excellent organizational, decision-making, and multi-tasking skills • Excellent presentation, verbal and written communication skills • Ability to collaborate with co-workers, senior leadership, and other management • Proven ability to prioritize and organize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines and turnaround time requirements • Ability to work independently utilizing all available resources while staying within the boundaries of duties • Ability to maintain confidence and discretion when dealing with sensitive provider, member, business plan, strategy, and other sensitive information • Proficient with Microsoft Office (Word, Excel, PowerPoint) and EZCAP • Ability to work temporarily for 3 months, with possibility of extension • Ability to work Monday through Friday, 8:30 AM–5:30 PM EST • Willingness and ability to frequently travel to provider sites depending on projects

🏖️ Benefits

• Temporary, full-time position for 3 months, with possibility of extension • Remote position • Equal Employment Opportunity and Affirmative Action employer • Reasonable accommodation available for applicants with disabilities

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