Clinical Data Retrieval Analyst

Access Healthcare; Town of Texas, Northern (WI, KY); Hybrid; USD 55,000 - 70,000; Full time

Job summary

Access Healthcare is seeking a detail-oriented analyst to carry out critical medical record retrieval for risk adjustment and payment integrity. You will work with EHR systems, ensure data quality and metadata, and support privacy compliance under HIPAA.

The role requires 1+ year in healthcare admin or related fields, with strong knowledge of Texas Medicaid portals and data systems. This is a on-site position with daytime shifts.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s preferred.
• 1+ years in healthcare administration, eligibility verification, or related field.
• Strong knowledge of Medicaid eligibility rules for Texas and related portals.

Responsibilities

• Manage a daily queue of chart requests by logging into EHR systems to retrieve clinical data.
• Ensure retrieved documents are of high quality, with necessary metadata.
• Support the manager in tasks like requesting EHR access and disenrollments.
• Maintain confidentiality per HIPAA and protect PHI.

Skills

Healthcare administration

PHI handling

HIPAA compliance

Data retrieval

EHR systems

Education

High School Diploma

Associate's or Bachelor's degree preferred

Tools

Orinoco

Change Healthcare

TexMed Connect

Job description

Job Details

Job Summary: We are seeking a detail-oriented analyst who will be responsible for executing critical medical record retrieval activities in support of risk adjustment and payment integrity functions. The goal is to ensure all stakeholders have access to the right clinical data at the right time to best serve our members and the organization.

Shift:

• Monday-Friday shift, 8:00 AM ET to 5:00 PM ET
• Wednesday-Sunday shift, 8:00 AM ET to 5:00 PM ET

Supervisory Responsibilities

This position has no direct supervisory responsibilities.

Duties / Responsibilities

• Manage a daily queue of chart requests that require logging into EHR (Electronic Health Record) systems and retrieving the necessary clinical information requested from the stakeholder team.
• Ensure that retrieved documents are of high quality, include necessary meta-data, and are readily available for teams to leverage in support of our members.
• Support the manager and internal teams in additional tasks that may include, but are not limited to, requesting EHR access for other team members, managing disenrollments from EHRs, tracking progress toward completion goals.
• Maintain professionalism and respect the privacy of the individuals in the requests. This role has direct access to PHI and therefore must be diligent in maintaining the confidentiality of the members following HIPAA guidelines.
• Perform other duties as assigned.

Qualifications

Required Skills / Abilities

• High school diploma or equivalent
• General understanding of the U.S. healthcare system and/or a strong willingness to learn
• Detail oriented and motivated to complete tasks with precision and on time
• Inquisitive mindset: not afraid to ask questions and/or clarify instructions, especially the 'why'

Education and Experience

• High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
• 1+ years of experience in healthcare administration, eligibility verification, or a related field.
• Strong knowledge of Medicaid eligibility rules and regulations in Texas.
• Proficiency in navigating state Medicaid eligibility portals (Texas Medicaid Client Portal, TexMed Connect).
• Experience with healthcare data systems (e.g., Orinoco, Change Healthcare) preferred.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift to 15 pounds at a time.