Medical Records Retrieval Coordinator

Creative Solutions Services, LLC; New York (NY); On-site; USD 30,307 - 33,062; Full time

Job summary

4 Corner Resources is seeking a Medical Records Retrieval Coordinator to support a RADV risk adjustment initiative and CMS compliance requirements. The role is provider-facing and involves engaging hospital HIM departments and provider offices in a fast-paced environment.

The position is a 6-month contract with a schedule of Monday–Friday, 8:00 AM – 4:30 PM EST. Location is hybrid—3 days onsite and 2 days remote/field work as needed, with a pay rate of $22-24 per hour.

Qualifications

• Requires 2-3 years of medical record retrieval experience in a health plan or provider setting (or equivalent administrative experience).
• Strong writing, time management, critical thinking, and communication skills.
• Demonstrated ability to coordinate with provider offices and hospital HIM departments.

Responsibilities

• Expand and improve medical records acquisition processes for a RADV program.
• Perform medical record reviews to ensure documentation meets RADV specifications.
• Retrieve medical records to support RADV and internal audit activities.
• Coordinate with Compliance, Risk Adjustment, and HIM teams to meet CMS retrieval deadlines.
• Ensure records are tracked, scanned, and saved in the internal document system.
• Maintain HIPAA compliance and secure transmission of PHI.
• Track retrieval progress and maintain reporting dashboards; elevate risks/delays.
• Travel to provider and hospital sites to obtain records.
• Manage multiple concurrent audit requests and resolve retrieval issues.
• Provide status updates during internal stakeholder meetings.
• Prepare PowerPoint presentations for project status reporting.

Skills

Medical records retrieval

Time management

Communication

Attention to detail

Microsoft Office

Outlook

HIPAA compliance

Education

HS diploma or GED

Associate's degree preferred

Tools

Microsoft Office Suite

Outlook

Job description

Medical Records Retrieval Coordinator (RADV Medical Records)

4 Corner Resources is seeking a Medical Records Retrieval Coordinator to support a leading health plan's RADV risk adjustment initiatives and regulatory compliance requirements. This is a provider-facing role ideal for candidates with medical record retrieval experience who are comfortable engaging directly with hospital HIM departments and provider offices in a fast-paced, deadline-driven environment.

Contract: 6 months with strong potential for extension
Schedule: Monday–Friday 8:00 AM – 4:30 PM EST
Location: Hybrid – 3 days onsite, 2 days remote/field work as needed.
Pay Rate: $22-24/HR

Key Responsibilities

• Expand and improve medical records acquisition processes for a risk adjustment (RADV) program
• Perform medical record reviews to ensure documentation meets RADV clinical specifications
• Retrieve medical records to support RADV and internal audit activities
• Coordinate cross-functionally with Compliance, Risk Adjustment, and HIM teams at provider and hospital sites to meet CMS retrieval deadlines
• Ensure records are accurately tracked, scanned, and saved in the appropriate internal document management system
• Maintain HIPAA compliance and ensure secure transmission of all protected health information (PHI)
• Track retrieval progress, maintain reporting dashboards, and proactively elevate risks or delays
• Travel to provider and hospital sites to obtain medical records
• Manage multiple concurrent audit requests and resolve facility-level retrieval issues
• Provide status updates on audits and projects during internal stakeholder meetings
• Prepare PowerPoint presentations for project status reporting

Qualifications

• HS diploma or GED required
• 2-3 years of medical record retrieval experience in a health plan or provider setting (or equivalent administrative experience)
• Strong writing, time management, critical/creative thinking, and communication skills
• Strong working knowledge of Microsoft Office Suite and Outlook
• Strong attention to detail with proven ability to manage high-volume workflows under tight deadlines
• Demonstrated experience coordinating with provider offices and hospital HIM departments

Preferred Qualifications

• Associate's degree or higher
• Prior experience in Managed Care/Health Insurance or a related healthcare field
• Proficiency in multiple EMR systems (Epic, eCW, Athena, Cerner, etc.)
• Understanding of CMS RADV requirements and medical record documentation best practices
• 2-3 years of experience with chart requests/retrievals using risk adjustment modeling
• 2-3 years of experience identifying SOAP notes across specialties using Risk Adjustment, Commercial, and CRG models