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Hcc Risk Coordinator

4 months ago


Orange, United States Prospect Medical Holdings Full time

The HCC Coordinator makes calls to and answers calls from providers and their staff regarding HCC Risk Adjustment Department reports and projects. The coordinator also serves as a clerical resource for other team members and management. HCC Coordinators is responsible for onsite at provider office and electronic medical records retrieval, merging renaming and uploading.

Assist with projects for the HCC Risk Adjustment team and other assignments received by management.|Research and provide courteous, accurate and timely response to inquires by providers as related to HCC Risk Adjustment projects and reports.

Document all phone calls regarding chart audits in IDX/CSR system on a daily basis.|Responsible for departmental provider report mailings to all providers.

Retrieving progress notes and faxes from provider relations and provider office. Distribute all incoming faxes, progress notes and chart audits.|Timely reporting of internal and external audit summaries to the Manager of HCC Teams. Notify management of call type trends and complaints immediately with accurate details by provider.|Mails post cards appointment reminder and gift cards to members. Other duties as assigned by management based on departmental needs for HCC Fax wellness results to back to pcp’s within a timely manner.

At least one (1)year relevant experience within the healthcare industry. At least one year experience in creating and generating reports.High School Diploma or GEDBS/BA preferred.