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Risk Adjustment Administration Representative 2

Company: Integrated Resources, Inc.
Location: Torrance
Posted on: September 22, 2022

Job Description:

Risk Adjustment Administration Representative 2 in Torrance, CA at Integrated Resources, Inc Job DescriptionThe Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.

Job Description
This position requires 50% travel to provider offices in the Southern California area.

The Medical Records Retrieval Specialist ensures accurate and properly supported clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines while analyzing medical records. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Travel up to 50% of the time, and will consist of driving to locations close to your home, as well as driving to locations that require overnight travel for up to a week at a time.
Use a laptop computer and a portable scanner to retrieve medical records which will be uploaded into a database.
Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.

Required Qualifications
Live in California
Working knowledge of healthcare environment/managed care (provider office, medical records, etc.)
Strong written and verbal communication skills; strong analytical, organizational and time management skills
Proficiency in Microsoft Office applications: Word and Excel
Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills including ability to learn new computer programs
This role is part of Client's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Ability to provide a designated workspace; free from distractions with the ability to secure any protected information.

Preferred Qualifications
Experience in EMR (Electronic Medical Records) system

Additional Information
Monday-Friday 8am-5pm
This position requires 50% travel to provider offices in Southern California. We and our partners process data in order to:Use precise geolocation data. Actively scan device characteristics for identification. Store and/or access information on a device. Personalised ads and content, ad and content measurement, audience insights and product development.

Keywords: Integrated Resources, Inc., Torrance , Risk Adjustment Administration Representative 2, Other , Torrance, California

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