Description
We are seeking a detail-oriented healthcare operations coordinator to support our Risk Adjustment team’s chart review and documentation initiatives. This role will focus on coordinating Medicare Administrative Contractor (MAC) portal access across a large network of practices, facilitating communication between practices, coding teams, and external vendors, and supporting the submission of documentation corrections and diagnosis code updates. The ideal candidate is comfortable navigating complex administrative processes, coordinating with multiple stakeholders, and managing sensitive practice information with accuracy and discretion.
This individual will play a key role in establishing and streamlining new workflows, helping practices obtain the appropriate portal access, supporting medical record retrieval efforts, and pulling reports to inform operational activities. Success in this role requires strong organizational skills, proactive follow-up, and the ability to build relationships with practice stakeholders while navigating access requirements and operational challenges.
This is a temporary position, lasting for 3 months with possibility of extension/conversion to full-time employment.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
- Assist with medical record review coordination and electronic health system/portal access, ensuring timely collection and submission of charts for risk adjustment and RADV (Risk Adjustment Data Validation).
- 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 preparation of documentation and reporting of results.
- Collaborate with internal risk adjustment, coding specialists, 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.
- Other duties as assigned.
Qualifications
- 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, as well as strong interpersonal.
- Excellent organizational, decision-making, and multi-tasking skills.
- Excellent presentation, verbal and written communication skills and ability to collaborate with co-workers, senior leadership, and other management.
- Proven ability to prioritize and organize multi-faceted/multiple responsibilities simultaneously in a fast paced, changing environment while meeting deadlines and turnaround time requirements.
- Must be able to work independently utilizing all resources available while staying within the boundaries of duties.
- Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information is required.
- Proficient with Microsoft Office (Word, Excel, Power Point) and EZCAP.
You're great for this role if you have:
- Revenue cycle experience
- Risk adjustment experience or coding certifications
Environmental Job Requirements and Working Conditions
- The national target pay range for this role is $22 - $28 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
- This is a temporary, full-time position that will operate M-F 8-5 EST. We are seeking candidates who can work temporarily for 3 months, with possibility of extension.
- This is a remote position.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at
humanresourcesdept@astranahealth.com
to request an accommodation.