Risk Adjustment Coordinator - San Diego (TEMP)

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

About the Role

The Risk Adjustment Coordinator is responsible for communicating with providers and providing services to a wide range of internal and external contacts. Anticipates and resolves problems, updates manager on status of projects, and supports the team.

Responsibilities

• Contact and collect medical records documentation for coders, either onsite from provider’s offices or via EMR access.
• Collect and summarize meeting minutes.
• Coordinate office activities such as scheduling meetings for internal/external stakeholders and provider visits.
• Prepare reports for meetings (weekly, monthly, or quarterly as needed).
• Distribute E-Fax.
• Respond to emails and faxes specifically directed to the team.
• Create and update a monthly list for Active Members/Members Without Office Visit in the IPA folder.
• Receive and organize data from external sources.
• Understand and adhere to HIPAA principles, maintaining confidentiality of patient health information.
• Understand the principles of Risk Adjustment based on CMS standards.
• Communicate internally and externally to gather necessary data.
• Attend provider and interdepartmental calls, ensuring exceptional customer service.
• Promote a positive working relationship between NMM, IPAs, and the health plan.
• Attend IPA and health plan meetings as required and respond to questions/inquiries in a timely manner.
• Perform duties in a professional manner, utilizing time and resources efficiently.
• 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 judgment, and resourcefulness.
• Excellent written, oral, and interpersonal communication skills.
• Excellent organizational, decision-making, and multitasking skills.
• Proven ability to prioritize and organize multiple responsibilities in a fast-paced, changing environment while meeting deadlines.
• Must be able to work independently, utilizing all available resources while staying within the boundaries of duties.
• Ability to maintain a high level of confidence and discretion when dealing with sensitive matters.
• Must be able to travel up to 50% of work time.
• Proficient with Microsoft Office (Word, Excel, PowerPoint) and EZCAP.

Pay

The national target pay range for this role is $20 - $26 per hour. Actual compensation will be determined based on geographic location, experience, and other job-related factors.

Schedule

This role follows a hybrid work structure with the expectation to work at home on a daily basis, including travel up to 50% of the time as needed in the surrounding areas within the Inland Empire.

Who We Are

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the U.S. healthcare system more efficient. Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) give us an unparalleled opportunity to improve patient outcomes, increase access to quality healthcare, and reduce waste in the U.S. healthcare system.

Our Values

• Patients First
• Empowering the Independent Provider
• Be Innovative
• Operate with Integrity & Deliver Excellence
• Team of One