Job Description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Alignment Health is seeking an proactive, detail-oriented, and solution-seeking medical records coordinator with strong interpersonal communication skills to join the remote RADV team. As a medical records coordinator, you will collect and assemble member records related to the Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) audit. You will also ensure compliance with CMS timelines, quality standards, and cross-department coordination for all RADV-related activities.

If you are seeking an opportunity to learn, develop, and be part of a growing team at Alignment Health - we're looking for YOU!

Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (Required)

Job Responsibilities:

• Perform all functions within the RADV program medical record retrieval team, ensure accurate handling and protection of patient health information in compliance with HIPAA regulations.
• Ensure patient records are accurate, complete, and up-to-date, organize and file new records as well as update existing ones.
• Work closely with other healthcare professionals to ensure the accuracy and completeness of patient records. Communicate updates or changes to patient records to the appropriate team members.
• Review records regularly to identify any errors or discrepancies and take necessary actions to correct the errors and ensure the accuracy of the records.
• Assist with audits of patient records to ensure compliance with regulations and identify areas for improvement.
• Retrieve and organize records for patient appointments or procedures to provide support to healthcare professionals.
• Maintain and organize equipment and supplies related to record-keeping, such as computers, printers, and filing systems.

Job Requirements:

Experience:

Required: Minimum 1 year experience in health plan operations

Preferred: Knowledge of healthcare systems, technologies, and chart retrieval procedures.

Education:

Required: High school diploma

Preferred: Bachelor's degree in healthcare-related field.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $41,472.00 - $62,208.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.


Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email careers@ahcusa.com.

Job Tags

Monday to Friday,

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