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Summa Health · 2 weeks ago

Chart Retrieval Analyst I

Greater Cleveland

Full-time

Hybrid

Entry Level

$24.93/hr - $29.92/hr

1+ years exp

SummaCare is a regional, provider-owned health plan that values the relationship between its members and their doctors. The Chart Retrieval Analyst I will perform essential functions in Risk Adjustment, including chart retrieval, medical record tracking, and ensuring data quality while providing exceptional client support for a positive customer experience.

Health CareMedicalNon Profit

Responsibilities

Perform chart retrieval, medical record tracking, processes invoices / check requests, performs outreach phone calls, ensures data quality oversite while resolving inquiries / issues by utilizing exceptional client support to ensure a positive customer experience

Assist in the development and management of activities in support of HCC coding while ensuring compliant practices for revenue management and reducing risk

Support the Risk Adjustment Data Validations (RADV) audits by ensuring all documents are transferred, logged and archived

Responsible for the delivery of clinical education materials to network providers as well of receiving all necessary medical documentation in support of related risk adjustment activities

Qualification

Medical coding knowledgeMicrosoft Office suiteSQL ServerBusiness Intelligence toolsEMR systemsCustomer service skillsCommunication skillsAttention to detailOrganizational skillsRelationship building

Required

Associate degree or equivalent combination of education and/or experience

Ability to travel to and from provider on an as needed basis

Demonstrate knowledge of Microsoft Office suite

Organize and manage time to accurately complete tasks within designated periods in fast-paced environment

Strong professional skills to assist provider and members with inquiries, resolving issues and ensuring a positive customer experience

Strong communication skills, especially active listening to confirm the client's needs are heard and understood in order to respond in an appropriate manner to ensure successful outcomes

Strong personal skills to develop long lasting relationships founded on patience, professionalism, and people first attitudes

Has a working knowledge of medical coding concepts, clinical procedural and diagnostic code sets

Maintain current knowledge of, comply with regulatory, and company policies and procedures

Maintain confidentiality of patient and business information

Demonstrate strong attention to detail and understanding the medical record

Flexible: ability to adjust work hours to meet business demands

Sit for prolonged periods

Bend, stoop, and stretch

Lift up to 20 pounds

Manual dexterity to operate computer, phone, and standard office machines