Registered Nurse RN Population Health Hybrid
Core
RN supporting Northern Colorado patient population by completing chart reviews and assisting providers prior to initial visits for medical records and coding.
Role type
Registered Nurse (Population Health/Risk Adjustment)
Builds
Risk Adjustment Factor (RAF) tools, reports, and educational materials for physicians and practices.
Domain
Healthcare / Risk Adjustment / Medicare Advantage
Required skills
Chart review, Medical coding, HCC identification, Risk Adjustment tools, Provider relations, Data analysis, Project management, BLS certification
Preferred skills
3-5 years healthcare experience, Relationship development, Critical thinking
Technologies
Word processing, Spreadsheets, Claims adjudication systems, Provider systems
Responsibilities
Coordinate Risk Adjustment efforts, Serve as subject matter expert for RAF tools, Establish relationships with physicians and vendors, Assess accuracy of HCC recapture, Provide training on Risk Adjustment tools, Monitor data submission for CMS attestation, Lead projects to improve program offerings.
Seniority
Mid-level (3-5 years experience required)
