Risk Adjustment Coordinator

Job Description

Job Description

Key Responsibilities

• Coordinate chart retrieval projects by ensuring records are routed to the appropriate resources
• Investigate non-participating provider chart requests and escalate issues to the appropriate resources as needed
• Distribute related documents and data files to providers and monitor requests through resolution
• Escalate issues in a timely manner to ensure deliverables and deadlines are met
• Organize and coordinate the production, distribution, storage, and archiving of documents and data files while maintaining Protected Health Information (PHI) security protocols
• Coordinate and schedule provider appointments to support risk adjustment education and audit reviews
• Monitor the central risk adjustment mailbox and route correspondence to the appropriate department associates
• Run and maintain basic MS Access queries and MS Excel workbooks to monitor risk adjustment-related data and program artifacts
• Serve as a subject matter expert for providers, Provider Network Management, and other customers regarding risk adjustment programs and related applications, including NaviNet and vendor chart retrieval applications
• Research issues involving internal processes and vendor applications, collaborate with vendors as needed, and document and communicate resolutions
• Maintain a thorough understanding of risk adjustment programs across all supported lines of business (LOBs)
• Identify and explore new provider Electronic Medical Record (EMR) access opportunities across supported lines of business
• Serve as the point person for ordering, securing, and maintaining departmental supplies

Required Qualifications

• 3+ years of experience
• High School Diploma or equivalent

Skills

• Microsoft Excel
• Microsoft Access
• Microsoft Word
• NaviNet
• Vendor Chart Retrieval Applications
• Electronic Medical Record (EMR) Systems
• Medical Coding and Health Information Data
• Business Computer Applications and Systems
• Chart Retrieval Coordination
• Risk Adjustment Program Coordination
• Provider Relations
• Claims Processing
• Managed Care Operations
• Provider Education and Audit Support
• PHI Handling and Confidentiality
• Medical Records Management
• Issue Escalation and Resolution
• Stakeholder Communication
• Deadline Monitoring and Coordination

Schedule

Start date: 2026-09-28

Next Steps

Shortlisted candidates will receive an email from View email address on ziprecruiter.com with instructions to complete a required screening step. Completion of this screening is mandatory to be considered for the role.If you do not receive this email after applying, please contact our Talent Expert at View email address on ziprecruiter.com.

Compunnel Inc., established in 1994; is a leading provider of Staffing, IT/Software, e-Learning/Training, Business Intelligence, and Cloud Solutions. A leader in contingent and permanent workforce solutions, we also provide temp-to-hire staffing, project-based/SOW staffing, and payroll services to our esteemed clientele which includes Fortune 500 companies of diverse industry segments. Ranked as one of the largest staffing firms in the US which is our primary service market; we also have a significant presence in Europe and Asia. As a national service provider in the US, we are serving our customers all major states and regions; thereby generating numerous job opportunities for prospective employees in their preferred locations of choice.

We have witnessed multi-fold YOY growth, and continuously adding a large pool of talented resources to our employee base every year. Our extensive experience in hiring professionals of multiple in-demand skill sets (IT, Engineering, Healthcare, Admin-Clerical, Finance, Professional, Light Industrial, etc.) further makes Compunnel a wider and preferred platform for people to pursue their careers in the US. We welcome people from all walks of life and cultures, and we support workforce diversity by providing equal employment opportunities to people without any discrimination based on race, color, gender, religion, national/ethnic region, disability, or any other basis.

Company Description

Compunnel Inc., established in 1994; is a leading provider of Staffing, IT/Software, e-Learning/Training, Business Intelligence, and Cloud Solutions. A leader in contingent and permanent workforce solutions, we also provide temp-to-hire staffing, project-based/SOW staffing, and payroll services to our esteemed clientele which includes Fortune 500 companies of diverse industry segments. Ranked as one of the largest staffing firms in the US which is our primary service market; we also have a significant presence in Europe and Asia. As a national service provider in the US, we are serving our customers all major states and regions; thereby generating numerous job opportunities for prospective employees in their preferred locations of choice.\r\n\r\nWe have witnessed multi-fold YOY growth, and continuously adding a large pool of talented resources to our employee base every year. Our extensive experience in hiring professionals of multiple in-demand skill sets (IT, Engineering, Healthcare, Admin-Clerical, Finance, Professional, Light Industrial, etc.) further makes Compunnel a wider and preferred platform for people to pursue their careers in the US. We welcome people from all walks of life and cultures, and we support workforce diversity by providing equal employment opportunities to people without any discrimination based on race, color, gender, religion, national/ethnic region, disability, or any other basis.