Coordinates the retrieval of medical records for initiatives related to risk adjustment, documentation, coding accuracy, and quality measures.
Responsible for collecting, organizing, analyzing, and reporting medical records data. Serves as a liaison between healthcare organizations, copy service vendors, internal departments, and the risk adjustment team. Works closely with provider network, collaborative health integration, primary care, and quality departments to improve program efficiency and provider communication.
Bachelor's degree in a business or healthcare management-related field, or five years of health-related non-clerical experience with an insurance, managed care, or healthcare organization in lieu of a degree.
Minimum of 3 years of analysis, research, and/or medical coding experience. Minimum of 2 years of medical record review experience. Knowledge of EMR systems or other electronic data sources. Preferred knowledge of HL7 and FHIR. Preferred knowledge of risk and quality concepts related to Medicare Advantage and Affordable Care Act populations. Preferred knowledge of Visio or flowcharting software. Proficiency with Microsoft Excel and MS Office Suite, including Word, Excel, and PowerPoint. Preferred proficiency with MS Access, MS Project, and SharePoint. Strong organizational planning, communication, critical thinking, problem-solving, and reading comprehension skills. Ability to work independently as a self-starter. Some local travel may be required to retrieve records from provider offices.
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago