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.

The Medical Review Accuracy Contractor (MRAC) Program Coordinator is responsible for supporting the Risk Adjustment team with all programs, including audits and managing all electronic medical record inventory and requests for the Risk Adjustment programs.

GENERAL DUTIES/RESPONSIBILITIES
1.   Provides technical and / or operational support for MRAC programs
2.   Assists with provider outreach
3.   Manages inventory of all electronic PDF medical records on file in the department and ensure they are indexed appropriately for easy retrieval.
4.   Maintains tracking logs, detailed project schedules and assist with administrative tasks for the MRAC team.
5.   Reports out on a regular basis the status of programs
6.   Logs all current and incoming medical records with relevant demographic information (using Microsoft Excel, Sharepoint, or Access).
7.   Requests medical records on behalf of department staff from providers for data collection and quality audit purposes. Track all medical record requests and perform appropriate follow-up as needed.
8.   Communicates effectively with external provider office staff, maintaining professionalism and a positive attitude.
9.   Successfully navigates the computer to access various programs and EMR’s, respond to e-mail requests via Microsoft Outlook, reformat medical record files on Adobe Acrobat, access electronic faxes, and navigate Windows File Explorer to manage the inventory of medical records on file.
10.   Ensures patient privacy is protected by adhering to HIPAA standards, company policies and procedures, and other federal, state, and local requirements.
11.   Other special projects and assignments as needed.

Job Requirements:

Experience:

• Required: Minimum 1 experience with medical, healthcare or insurance data entry.

• Preferred: 1 year of project management experience preferred. 1 year of healthcare/ Medicare experience preferred

Education:

• Required: High School Diploma or GED.

• Preferred: College courses or Trade School courses

Training:

• Preferred: Medical Terminology courses

Specialized Skills:

• Required:

Proficiency in Microsoft Office.
Knowledge of medical terminology.
Knowledge of HIPAA and other healthcare laws
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.

Licensure:

• Required: None

• Preferred:

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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 accommodations 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 https://reportfraud.ftc.gov/#/. 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.