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Risk Adjustment Administrative Representative
Elevance Health. Conduct analysis of data, provider or member outreach, and/or record retrieval .
Core Competencies
Role fitCore 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
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
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