Job Information
WorkSource Oregon Risk Adjustment Technician in KLAMATH FALLS, Oregon
Required: * Associate\'s degree from 2-year college or university AND 1-3 years related experience and/or training OR equivalent combination of education and experience Summary: This position is responsible for member outreach, department administrative coordination, and applicable data capture related to the risk adjustment program. This position will perform In Home Evaluation (IHE)/Comprehensive Annual visit (CAV) outreach calls to members, outreach to facilities and clinics for documentation requests, and provide technical assistance to internal and external parties. Essential Duties: 1. Performs member outreach for IHE/CAV scheduling and coordination 2. Assists providers with prospective chart review by providing previous encounter data and documentation in the appropriate format 3. Submits record requests and performs follow up with clinics and providers as part of risk adjustment chart review and audits 4. Assists on complex risk adjustment audits under the direction of the Risk Adjustment Manager while adhering to schedules and deadlines Duties Include: * Serves as liaison between risk adjustment department and external partners assisting with all aspects of documentation completion and submission to CMS * Coordinates onsite visits and audits between clinics and the Risk Adjustment Manager and/or Risk Adjustment Auditor * Performs data entry into various systems * Collects, organizes, and shares data with internal and external partners as directed * Prepares various documents and reports related to risk adjustment * Attends, schedules, and/or facilitates meetings as needed * Maintains confidentiality and compiles with HIPAA rules and regulations * Maintains punctual, regular, and predictable attendance * Works collaboratively in a team environment * Displays excellent communication skills