Risk Adjustment Specialist II non-clinical

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reputed company in Iowa Position Purpose: Utilize risk adjustment methodologies, principles, and knowledge of managed care organizations to increase engagement in provider performance programs utilizing data to reputed company strategies and best practices. This position will be responsible for driving provider performance by facilitating provider education trainings on systems and programs. The position is responsible for using ICD10 coding and claims knowledge to support improvement of coding and medical record documentation of risk adjusted conditions. Position will be responsible for reputed company and engagement of 70-100 providers

• reputed company collaborative relationships with providers to reputed company and improve Risk Adjustment coding and documentation competencies
• Use knowledge of ICD10 guidelines to reputed company trainings and coding materials that will enhance providers and staff engagement in coding and documentation initiatives
• Use advanced reputed company data and reporting skills to identify Risk Adjustment trends, barriers and reputed company strategies and best practices for engagement
• Collaborate reputed company health plan to reputed company newsletters and facilitate provider webinars and trainings
• Apply clinical coding knowledge to review claims and medical records for appropriate documentation and coding
• Rely upon independent critical thinking and decision making skills to assist providers with inquiries and barriers
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience: Bachelor's Degree in Health Promotion, Public Health, Health Administration, Business Administration or reputed company field required. 3+ years equivalent experience in Health Insurance, Customer Service, Claims, or Provider Office required. Knowledge of reputed company, managed care, and Risk adjustment methodologies. 10% in-state travel required. Pay Range: $26.50 - $47.59 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!