Medical Retrieval and Risk Adjustment Consultant

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🔥 30 minutes ago

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Logo of MedCap Health

MedCap Health

51 - 200 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

MedCap Health is a physician-led, multi-specialty organization that provides clinical support and subspecialty services to post-acute care settings including skilled nursing facilities (SNFs), long-term acute care hospitals (LTACHs), inpatient rehabilitation facilities (IRFs), assisted living facilities (ALFs), and independent living facilities across 15+ states. Their model emphasizes daily on-site physician rounding, collaboration with nurse practitioners and physician assistants, embedded subspecialty integration, medical director leadership, telemedicine roles, and value-based frameworks. They offer services for high-acuity post-ICU programs, ventilator and trach units, transitional care, and chronic disease management with outcomes including reductions in hospital readmissions and falls.

📋 Description

• Obtain, manage, and upload medical records to health plan/payor portals • Collaborate with internal stakeholders to access medical records • Track and manage retrieval projects to meet deadlines • Verify record accuracy for members and services • Organize records per company procedures • Review records for legibility and completeness • Upload medical records to payor portals • Maintain confidentiality of protected health information • Provide regular status updates on retrieval activities

🎯 Requirements

• Must have the ability to pass a background check.

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