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Elevance Health

Risk Adjustment Administrative Representative

Elevance Health

. Conduct analysis of data, provider or member outreach, and/or record retrieval .

Posted 11/5/2026full-timeUnited StatesJuniorMid-LevelWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical record retrieval and data management, with proficiency in ICD-9/10 coding and Microsoft Office applications. Capable of coordinating activities across providers and managing retrospective projects to support risk adjustment programs.

Highest-signal resume keywords
Medical Records RetrievalICD-9/10 CodingMicrosoft Office ProficiencyProject ManagementData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Medical Record RetrievalData AnalysisICD-9/10 CodingQuality AssuranceRecord Management
Soft Skills
CoordinationPrioritizationCommunication
Tools & Technologies
Electronic Medical Record SystemsMicrosoft WordMicrosoft Excel
Industry Keywords
Healthcare AdministrationRisk Adjustment ProgramsValue-Based CareProvider Outreach

About the role

Key responsibilities & impact
  • Conduct analysis of data, provider or member outreach, and/or record retrieval
  • Assist in acquiring medical records
  • Load medical records into the coding system and link records to appropriate chart IDs
  • Facilitate transfer of data and information between providers and the company in support of risk adjustment programs
  • Download medical records from Electronic Medical Record systems remotely and in person
  • Assist with the medical record quality assurance process
  • Perform or participate in special projects as directed
  • Manage, maintain, and track ad hoc retrospective projects
  • Provide medical record retrieval services to value-based groups and providers/groups new to the company
  • Prioritize work across providers and/or external vendors, coordinate activities, and monitor retrieval scheduling to meet weekly/yearly goals
  • Serve as primary administrative owner of a main process, program, product, or technology
  • Travel to worksite and other locations as necessary

Requirements

What you’ll need
  • H.S. diploma or equivalent
  • Minimum of 2 years of experience performing medical records retrieval, in a provider office, hospital, insurance or healthcare administration; or any combination of education and experience providing an equivalent background
  • Proficiency in Microsoft Office applications, including Word and Excel strongly preferred
  • Strong knowledge of ICD-9/10 codes preferred
  • BA/BS in healthcare, business or another similar discipline preferred
  • Ability to work within a reasonable commuting distance from a posting location unless accommodation is granted as required by law
  • Ability to travel to worksite and other locations as necessary
  • Candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

Benefits

Comp & perks
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Short-term disability benefits
  • Long-term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
  • Hybrid work arrangement with 1–2 in-office days per week
  • Flexible virtual work options
  • Accommodation for qualifying disabilities as required by law