Risk Adjustment Data Entry - Pleasanton Rd San Antonio, Texas, United States
8 hours ago
Job description
DescriptionGeneral Summary: This role focuses on the improved documentation of acuity for the capitated GMG patient population through the Review Medical History process, Intake visits and other outreach efforts. Also helps with other Managed Care projects.
Supervisory Responsibilities: This position has no supervisory responsibilities.
General Requirements: All duties performed will be done accurately and in a timely manner.
1. Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy.
2. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers.
3. Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication.
4. Participates in other Managed care projects to include but not limited to marketing events, and Medicare Open enrollment period.
5. Reviews reports to identify areas for improvement or needed action to meet departmental goals.
6. Supports team members in all aspects of the Risk Adjustment process to ensure that defined timelines and departmental goals are met.
7. Adhere to all confidentiality and HIPAA requirements as always outlined within Gonzaba Medical Group Operating Policies and Procedures in all ways and with respect to any aspect of the data handled or services rendered.
8. Other duties as assigned.
Essential Job Responsibilities:
1. Maintain accurate database of GMG capitated patients, update database monthly from enrollment and disenrollment reports.
2. Accurately update the database to track each stage of the RMH process. This is vital to an effective process and accurate reports.
3. Prepare audit documents as defined; create logical batches for reviewers.
4. Process completed audits for timely data entry into EMR.
5. Assist with teaching clinical staff how to identify patients needing RMH review, preparing RMH notes for the provider, and processing RMH encounter notes; also teach how and when to schedule future RMH appointments.
6. Keep PCP, clinical staff and Managed Care team members informed of pertinent findings/issues uncovered.
7. Track & report completed RMH DOS for CMS submission.
Work Environment: Clinic environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.
Mental / Physical Requirements: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 15 lbs. Close vision and ability to adjust focus. Must be able to work efficiently under pressure.
Additional Information: Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to the culture and our core values.
Other Duties As Assigned: The above job description is not intended to be an all-inclusive list of duties and standards of the position. Team members will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Responsibilities, knowledge, skills, abilities, and work environments may change as needs evolve.
Education and Training: Minimum high school education or equivalent. Medical Assistant Certificate or Current TX LVN license preferred. CPR with AED certification preferred.
Experience: Experience in a clinic, doctor's office or hospital with a minimum of one-year experience preferred.
Other Requirements: Computer Skills: Skilled in use of computer/EMR systems. Knowledge of Word processing software, spreadsheet software, Internet, and database software.
Similar jobs
This position can be done remotely as a Data entry clerk at GitLab. Attention to detail and organizational skills are essential for success in this role. · ...
1 month ago
We are looking for part-time permanent employees to join our Corporate Accounts Payables department in Olathe Kansas Working in this role will support the Accounts Payables Team with processing reviewing and validation through Ephesoft Technology. · Online validation of Accounts ...
1 week ago
Perform data entry and research in various systems and tracking tools. Apply knowledge of processes and related systems to assist in identifying, assessing and resolving issues/problems. · ...
1 week ago
Job summary: Perform data entry and research in various systems and tracking tools. · Qualifications: Must be able to pass a background drug screen. · Responsibilities: Apply knowledge of processes and related systems to assist in identifying assessing resolving issues/problems. ...
1 week ago
Perform data entry and research in various systems and tracking tools. · Apply knowledge of processes and related systems to assist in identifying, assessing and resolving issues/problems. · ...
1 week ago
About BCforward: · BCforward began as an IT business solutions and staffing firm. · Audit own data entry for accuracy and make required corrections. · Respond to information requests by searching, summarizing research results and compiling in requested format.' · ...
1 week ago
We are looking to add an ENTRY LEVEL Data Entry Specialist to our team. · Previous experience in data entry or other related fields. · Excellent typing skills. · ...
1 week ago
This position is responsible for performing all data entry functions as they relate to the completion of case report forms, by entering study data collected by the research team into the Electronic Data Capture (EDC) system. · ...
1 month ago
This position is responsible for performing all data entry functions as they relate to the completion of case report forms. · Oversee and manage the data entry from the source document to the case report form(CRF) · Reviews patient records for completeness and accuracy · ...
3 days ago
Join our thriving team as a Remote Entry-Level Data Entry Specialist Gain important experience while enjoying the convenience and flexibility of working from home Key responsibilities include Enter and update data accurately Verify data accuracy for high-quality information Manag ...
1 week ago
This role supports an ongoing ERP rollout and helps bring certified payroll current.The organization is currently six months behind, with 25 projects averaging 19 weeks behind. · ...
3 weeks ago
Data entry specialist responsible for performing all data entry functions as they relate to the completion of case report forms by entering study data collected by the research team into the Electronic Data Capture (EDC) system. · Data entry personnel will also resolve all data q ...
2 weeks ago
The Customer Service / Data Entry Representative will provide a wide variety of administrative and staff support services for our claims coordination team. Please note that this is a remote position. · ...
1 week ago
We are seeking a detail-oriented Data Entry Clerk to accurately input and maintain data across multiple systems, databases, and online platforms. This role supports departmental initiatives by ensuring high standards of production volume, accuracy, and completeness. · ...
1 week ago
The Data Entry Processor operates in a fast-paced environment and is responsible for entering all claims correctly and in a timely manner. · ...
2 weeks ago
Job Summary · Under the direction and supervision of the Director of Data Management, this position is responsible for performing all data entry functions as they relate to the completion of case report forms, by entering study data collected by the research team into the Electr ...
1 day ago
DRolls Associates seeks a detail-oriented individual to join their team as a Data Entry Clerk. The ideal candidate will be able to maintain company data accuracy and integrity. · ...
1 week ago
The Data Entry Processor operates in a fast-paced environment and is responsible for entering all claims correctly and in a timely manner. · Enters claims into a database system accurately and in a timely manner · ...
3 weeks ago
Job summary · Ocupamos a un Data Entry Clerk altamente organizado y detallista para nuestro equipo administrativo en Ohio Surgery Center. · ...
1 month ago
We are seeking a detail-oriented and organized Data Entry Clerk to join our team. · ...
1 month ago
This position is responsible for performing all data entry functions as they relate to the completion of case report forms. · ...
1 month ago