Adjustment Clerk jobs in Green Bay, WI
Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Adjustment Clerk jobs
Risk Adjustment Compliance Coder
- Upper Peninsula Health Plan
-
Marquette, MI
FULL_TIME
-
POSTED: April 3, 2024
POSITION: Risk Adjustment Compliance Coder
DEPARTMENT: Finance-Accounting
POSITION SUMMARY:
The Risk Adjustment Coder works to improve the quality of coding data which is imperative to support payments from Medicare and Medicaid. Performs risk adjustment coding audits, conducts risk adjustment coding compliance research, answers risk adjustment coding questions, and serves as a subject matter expert in risk adjustment coding. Supports the Medicare and Medicaid risk adjustment programs by assisting with development and implementation of risk adjustment program initiatives.ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.2. Collaborates with Risk Adjustment Analyst to develop, implement, and continually refine prospective and retrospective diagnosis coding programs.3. Follows International Classification of Diseases (ICD)-10 guidelines for Coding and Reporting, Centers for Medicare & Medicaid Services (CMS) risk adjustment guidelines, understands the impact of ICD-10 coding on the CMS Hierarchical Condition Categories (HCC) risk adjustment model, and serves as the subject matter expert for risk adjustment activities.4. Assists with extraction of charts via remote Electronic Medical Record (EMR) access or faxed medical record request for risk adjustment initiatives.5. Performs comprehensive medical record review, verifying and ensuring accuracy, completeness, specificity, and appropriateness of diagnoses codes in accordance with ICD-10 guidelines based on medical record documentation.6. Maintains a comprehensive tracking and management tool to track all coding activities; generates and maintains accurate weekly, monthly, and quarterly reports of activities.7. Completes chart review encounter data submissions to CMS based on chart review findings.8. Provides support to the Risk Adjustment Analyst during the annual retrospective chart review performed by an external party.9. Identifies, develops, and delivers general and specific educational guidance to provider staff based on risk adjustment audit findings.10. Collaborates with internal departments, as appropriate, to carry out risk adjustment program activities to ensure integrity of diagnoses attributed to members submitted to the Michigan Department of Health and Human Services (MDHHS) and CMS by UPHP.11. Collaborates with a variety of external clients including health care management, physicians, and provider office personnel to streamline and optimize accurate diagnosis code capture.12. Maintains confidentiality of client data.13. Performs other related duties as assigned or requested.POSITION QUALIFICATIONS:
Education:
Minimum:
High School DiplomaPreferred:
Associate degree in business, health information processing, or related fieldCertification:
Minimum:
Must possess and maintain an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification—Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC).Preferred:
Certified Coding Specialist (CCS-P, CCS, CPC) and Certified Risk Adjustment Coder (CRC)Experience:
Minimum:
Two (2) years of experience in medical chart codingPreferred:
Five (5) years of experience in medical chart coding, including inpatient and outpatient settings; working knowledge of managed care and health plan standards on Risk Adjustment CodingOther Qualifications:
• Advanced knowledge and understanding of medical terminology, disease process, and anatomy and physiology• Advanced knowledge and understanding of CPT coding across a wide variety of provider specialtiesRequired Skills:
• Excellent organizational abilities with attention to detail• Ability to effectively communicate with, and educate, clinic staff (provider, care managers, clinic quality leads, etc.)• Working knowledge of Microsoft Office (Word, Excel, Outlook)• Keyboarding proficiency• Research and analytical skillsPreferred Skills:
• Knowledge of MS PowerPoint• Oriented to managed careThe qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.Physical Requirements:
[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:Ability to access departmental filesAbility to enter and access information from a computerAbility to access all areas of the UPHP officesModerate physical effort (lift/carry up to 25 pounds)Occasionally lifts supplies/equipmentOccasional reaching, stooping, bending, kneeling, crouchingProlonged periods of sittingOccasional prolonged standingManual dexterity and mobilityWorking Conditions:
Position available onsite (in Marquette, Michigan), fully remote, or hybrid with a remote work option up to three (3) days per week
Works in office conditions, but occasional travel is required
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours
Subject to many interruptionsRemote Work Requirements:
Remote candidates must reside in the state of Michigan
For fully remote team members, initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, Michigan (stipend provided)
Periodic travel to UPHP’s headquarters for regular training including bi-monthly all staff meetings
Private home office required; computer and phone hardware provided
Personal vehicle required for periodic travel; mileage reimbursement provided at GSA rate - 10 Days Ago
Clerk
- Niemann Foods
-
Manitowoc, WI
FULL_TIME
- Get paid daily! We’ve partnered with DailyPay to offer employees more control over their earnings!!!SUMMARYThe Little Caesar Crew works productively as part of the restaurant team and performs job res...
- 16 Days Ago
Meat Clerk/Seafood Clerk
- Pick'n Save
-
Eagle River, WI
FULL_TIME,PART_TIME
- Position Summary: Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Assist the departm...
- 10 Days Ago
Retail Clerk
- Krist Oil Company
-
Saint Germain, WI
PART_TIME,FULL_TIME
- We are looking to hire Retail Clerks at Krist Food Mart~ Good Customer Skills~ Ability to operate a cash register and handle money~ Maintain cleanliness of store - stocking merchandise~ Must be willin...
- 7 Days Ago
Meat Clerk
- Hometown Grocers, Inc.
-
Lakewood, WI
PART_TIME
- Job Summary Job Title: Meat Clerk FLSA Status: Hourly Reports To: Meat Manager Responsible for working closely with all meat counter associates in an effort to ensure all company policies and procedur...
- 8 Days Ago
Filters
- Current Active Filter
- Green Bay, WI
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Adjustment Clerk jobs found in Green Bay, WI area
Claims Adjuster Trainee
- Progressive Corp.
-
Green Bay, WI
- Claims Adjuster Trainee **Job Number** : 189042 Join one of FORTUNEs 100 Best Companies to Work For! As a **claims adjus...
- 4/16/2024 12:00:00 AM
Claims Adjuster - Auto Damage
- Progressive Corp.
-
Appleton, WI
- Job Description - Claims Adjuster - Auto Damage (186696) **** Claims Adjuster - Auto Damage **Job Number** : 186696 As a...
- 4/16/2024 12:00:00 AM
Experienced Claims Adjuster
- Progressive Corp.
-
Appleton, WI
- Experienced Claims Adjuster **Job Number** : 189658 Join one of FORTUNEs 100 Best Companies to Work For! Develop your cl...
- 4/14/2024 12:00:00 AM
Catastrophe Property Adjuster *MULTIPLE REMOTE LOCATIONS*
- Erie Insurance
-
Green Bay, WI
- Division or Field Office: Claims Division Department of Position: Catastrophe Operations Dept Work from: Home, within ER...
- 4/12/2024 12:00:00 AM
Independent Insurance Claims Adjuster in Menasha, Wisconsin
- MileHigh Adjusters Houston Inc
-
Menasha, WI
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
- 4/12/2024 12:00:00 AM
Independent Insurance Claims Adjuster in Sturgeon Bay, Wisconsin
- MileHigh Adjusters Houston Inc
-
Sturgeon Bay, WI
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
- 4/12/2024 12:00:00 AM
Seamstress/Tailor
- Buckle
-
Green Bay, WI
- Summary The Seamstress/Tailor position's primary responsibility is to fulfill our mission statement, "to create the most...
- 4/12/2024 12:00:00 AM
Manufacturing Maintenance Technician
- TMG
-
Green Bay, WI
- Job Description Job Description Maintenance Technician - Days 2,000 sign on bonus Green Bay area Essential duties and re...
- 4/12/2024 12:00:00 AM
About Green Bay, Wisconsin
Green Bay is a city in and the county seat of Brown County in the U.S. state of Wisconsin, at the head of Green Bay, a sub-basin of Lake Michigan, at the mouth of the Fox River. It is 581 feet (177 m) above sea level and 112 miles (180 km) north of Milwaukee. The population was 104,057 at the 2010 census. Green Bay is the third-largest city in the state of Wisconsin, after Milwaukee and Madison, and the third-largest city on Lake Michigan's west shore, after Chicago and Milwaukee. Green Bay is home to the National Football League's Green Bay Packers.
Green Bay is the principal city of the Gree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$31,478 to $39,087
Green Bay, Wisconsin area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does an Adjustment Clerk do?
Adjustment Clerk in Columbus, GA
Council member Bernard Brush said the issue of low salaries for the clerks and service director has been on council's radar for several years.
December 25, 2019
Adjustment Clerk in Saint Cloud, MN
The title adjustment clerk is given solely for the reason that these individuals provide adjustment in lieu of advice.
February 19, 2020
Adjustment Clerk in Port Arthur, TX
An Adjustment Clerk performs a variety of research functions and meets established standards for production and quality.
February 16, 2020