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Part Time Hcc Risk Adjustment Coding Jobs in Chicago, IL

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Part Time Hcc Risk Adjustment Coding information

What is the difference between Part Time Hcc Risk Adjustment Coding vs Part Time Medical Biller?

AspectPart Time Hcc Risk Adjustment CodingPart Time Medical Biller
CertificationsHCC coding certifications, CPC or CCSMedical billing and coding certifications, CPC
Work EnvironmentHealthcare facilities, insurance companies, remoteMedical offices, billing companies, remote
Industry UsageHealth plans, risk adjustment programsHospitals, clinics, insurance billing
Job FocusAnalyzing clinical documentation for risk scoresProcessing insurance claims and payments

Part Time Hcc Risk Adjustment Coding involves analyzing clinical data to ensure accurate risk scores for health plans, requiring specialized coding certifications. In contrast, Part Time Medical Biller focuses on processing claims and payments, often with general billing certifications. Both roles are essential in healthcare finance but differ in their primary responsibilities and work environments.

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Chicago, IL? The most popular types of Hcc Risk Adjustment Coding jobs in Chicago, IL are:
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Part Time Hcc Risk Adjustment Coding jobs near you
RA Member Engagement Representative

RA Member Engagement Representative

SOUTHLAND CARE COORDINATION PARTNERS INC

Olympia Fields, IL • On-site

$17/hr

Full-time, Part-time

Re-posted 25 days ago

Job description

Description:

Job Title: Risk Adjustment Care Navigator

Program: Clinical Risk Adjustment

Department: Health Management Services

Direct Report: Clinical Risk Adjustment Program Manager

Location: On Site

Position Type: Full Time or Part Time

Job Description: The Clinical Risk Adjustment Program Member Engagement Representative engages health plan members and schedules Risk Adjustment appointments.

ROLE AND RESPONSIBILITIES

  • Engage health plan members and employ professional techniques during verbal communications, electronic correspondence, and text-based interactions with each member.
  • Assist health plan Members with scheduling appointments with the Nurse Practitioners (NP’s).
  • Update and maintain accurate documentation of each member’s encounter in the electronic health record (EHR).
  • Accurately document appointments.
  • Properly execute member referrals/concerns/grievances when applicable.
  • Document timely member observations requiring administrative notification of any critical member issues/concerns.
  • Interact with staff and members to optimize workflow efficiency.
  • Compliant with Performance Goals / Contract Deliverables.
  • Help promote a company culture that encourages top performance and high morale.
  • Follow all Policies and Procedures of SCCP.
  • Participate in all SCCP mandatory and CMS regulatory training.
  • Attend all staff meetings – in person or via telephone (if unable to attend, responsible for knowledge of content).
  • Develop a comprehensive understanding of SCCP information security policies.
  • Abide by all SCCP information security policies, procedures, protocols, and practices.
  • Abide by principles and laws related to confidentiality.
  • Report information security risks when they are identified.
  • Participate in regular information security management trainings.
  • Develop a comprehensive understanding of SCCP information security policies.
  • Abide by principles and laws related to confidentiality.
  • Demonstrate respect for individual diversity (culture, ethnicity, gender, race, religion, age, economic status).
  • Engage in continuing education and training for professional growth and development.
  • Other duties as assigned by Direct Report.



Requirements:

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • High School Diploma or Equivalent Required.
  • Minimum of 1 year of Call Center Representative Experience Preferred.
  • Minimum of 2 years in a Customer Service Role Required.

PREFERRED SKILLS

  • Excellent verbal communication skills.
  • Ability to interact with health care professionals in a professional manner.
  • Computer Literate – Word, Google Doc and Excel.
  • Able to multi-task, manage time and set priorities.
  • Able to remain coachable and teachable at all times.