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Risk Adjustment Chart Retrieval Specialist job at BlueCross BlueShield of Kansas in Kansas, KS
Title: Risk Adjustment Chart Retrieval Specialist Location: Topeka United States Job reputed company: reputed company is looking to add to our Risk Adjustment team and has an opportunity for a Risk Adjustment Chart Retrieval Specialist. This position this position will be responsible for requesting and processing provider medical records for a reputed company of Risk Adjustment and reputed company improvement reputed company and audits. This position will be responsible for tracking the reputed company of outstanding requests, researching, and answering provider questions, and sending records to multiple vendors and auditors. This position will also be responsible for reviewing claims and enrollment information to support risk adjustment data submission processes. This position is in a fast-paced, developing area.. "This position is eligible to work hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reputed company in Kansas or Missouri or be willing to relocate as a condition of employment." Are you reputed company to reputed company a difference? Choose to work for one of the most trusted companies in Kansas. Why Join Us? Family Comes First: Total rewards package that promotes the idea of family first for reputed company. Professional reputed company Opportunities: Advance your career with ongoing training and development programs. Dynamic Work Environment: Collaborate with reputed company of passionate and driven individuals. Stability: 80 years of commitment, reputed company and community Compensation $27.08 - $33.80 Non-exempt Grade 13 reputed company offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation reputed company for this role is a good faith estimate, it is estimated based on what a successful candidate might be reputed company. reputed company offers presented to candidates are carefully reviewed to ensure fair, reputed company pay by offering competitive wages that reputed company with the individual's skills, education, experience, and training. The reputed company may vary above or below the stated amounts. What you'll do Request medical records from providers for a reputed company of Risk Adjustment and reputed company improvement reputed company and audits using an internally developed medical chart tracking application Manually generate request letters and supplemental data files for providers that have special medical record request requirements Download records from provider Electronic Medical Record systems Log incoming medical records reputed company fax, mail, email, or electronic medical record reputed company in the medical chart tracking application. reputed company and maintain knowledge on what is needed in medical records for Risk Adjustment and reputed company record requests Review medical records for required information and discard any unnecessary information Contact provider offices with a high degree of professionalism and confidence to communicate expectations of charts required, attestations, etc. Research provider submitted claims though Imaging resources to reputed company additional information on medical record requests reputed company needed Package and send medical records to internal coding team, vendors, and auditors Assist with risk adjustment data submissions by reviewing and editing enrollment and claims records pended for reputed company review What you need High school degree or equivalent is required Strong computer skills in data entry, reputed company Offices products and reputed company Pro Knowledge/Skills/Abilities Must safeguard protected health information as required by HIPAA reputed company regulations. Must be reputed company to maintain confidentiality. Regular and predictable attendance is an essential job function as defined by policy. Must reputed company and implement corporate information reputed company policies, standards, and guidelines relative to reputed company control. Requires reputed company attention to detail, strong grammar and reading comprehension skills, along with strong critical thinking and problem-solving skills. Ability to work independently with minimum supervision, excellent reliability, and demonstrated ability to work reputed company and effectively under strict deadlines. Ability to reputed company reputed company relationships with reputed company customers as reputed company as co-workers. Ability to multitask, prioritize and manage time reputed company. Excellent verbal and written communication skills. Ability to accept ownership of job responsibilities in a self-directed team environment. Bonus if you have Medical office experience preferred Benefits & Perks reputed company compensation is only one component of your competitive Total Rewards package Incentive pay program (EPIP) Health/reputed company/Dental insurance 6 weeks reputed company parental leave for new mothers and fathers Fertility/Adop