RISK ADJUSTMENT SPECIALIST I - RISK ADJUSTMENT - Position #2022-142
- Date Posted:
- Full Time
- OPEN UNTIL FILLED Fully Remote Monday - Friday 8:00a.m. - 5:00p.m.
Risk Adjustment Specialist I will be a part of the Risk Adjustment Team
responsible for researching and resubmitting off multiple systems (Custody of
Code) ICD-10 codes and assist the Risk Adjustment Supervisor’s in aspects of risk
adjustment including, but not limited to, the research of medical records, confirmation
of clinical documentation, and assuring accurate and complete encounters are
submitted to the health plan. The Risk Adjustment Specialist I works closely
with Risk Adjustment Team leadership to support assigned physicians in risk
adjustment and/or auditing activities.
High School Diploma or equivalent. Six months
of experience in CPT-4, ICD10 & HCPCS Coding or successful completion of
the EPIC Management Coding Compliance externship program. CPC-A, COC-A, CPC,
COC, or CRC certification required. Desktop Application knowledge (Outlook,
Excel, Word). Capability to research and resubmit HMO and Clearing house
rejects, identify problem areas and make recommendations for change. Ability to
work independently in a high production work environment and the ability to
effectively communicate with all levels within the organization. Strong
analytical skills as related to data, information, and data entry. Excellent
communication skills both oral and written.
Beaver Medical Group
requires all new hires and employees to report their COVID-19 vaccination
Applications must be complete and demonstrate that the
minimum qualifications are met. Resumes may be attached to completed
application form as supplemental information, but will not be accepted in lieu
of an official application form. Applications will be screened and the most
qualified candidates who best match the needs of the position will be invited
to compete further in the recruitment process. Due to the large
volume of applications received, we are unable to track for individual
applications or discuss the application process.