RADV Medical Records Retrieval Coordinator

Healthfirst; Layton (UT); On-site; USD 61,000 - 89,000; Full time

Job summary

Healthfirst is seeking a detail-oriented Records Retrieval Specialist to support RADV risk adjustment. You will expand and optimize processes for obtaining medical records, review documentation for CMS RADV alignment, and coordinate audits with Compliance, Risk Adjustment, and HIM teams across multiple provider sites.

The role requires 2–3 years in medical record retrieval, strong writing and communication skills, and proficiency with Microsoft Office.

Qualifications

• HS diploma or GED from an accredited institution.
• 2–3 years in medical record retrieval in a health plan/provider setting.
• Strong writing, time management, communication and problem-solving skills; MS Office proficiency.

Responsibilities

• Expand and improve medical records acquisition for RADV risk adjustment.
• Review medical records for RADV compliance with CMS specifications.
• Engage in medical record retrieval efforts for RADV and internal audits.
• Collaborate with Compliance, Risk Adjustment, and HIM teams across provider sites to meet CMS deadlines.
• Ensure medical records are accurately accounted for, scanned, and stored securely.
• Maintain HIPAA compliance and secure transmission of PHI.
• Travel to providers’ sites to obtain medical records.
• Prepare status updates and presentations for stakeholders.

Skills

Strong writing

Time management

Communication

Problem solving

Education

HS diploma or GED

Associates degree or higher

Tools

Microsoft Office Suite

Outlook

Epic

eCW

Athena

Cerner

Job description

Healthfirst is seeking a detail-oriented Records Retrieval Specialist to support RADV risk adjustment. You will expand and optimize processes for obtaining medical records, review documentation for CMS RADV alignment, and coordinate audits with Compliance, Risk Adjustment, and HIM teams across multiple provider sites.

The role requires 2–3 years in medical record retrieval, strong writing and communication skills, and proficiency with Microsoft Office.