Remote Medical Records Auditor & Retrieval Specialist

Humana; Oregon; Hybrid; USD 44,000 - 58,000; Full time

Job summary

Humana is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to perform quality assurance audits of medical records and ICD 9/10 diagnosis codes submitted to CMS and other government agencies.

This is a remote role with field-based responsibility, requiring travel to provider offices in Pennsylvania and surrounding counties, reporting directly to the Risk Adjustment Supervisor. You will collect medical records, coordinate with offices, and ensure HIPAA-compliant handling while using

Qualifications

• 1+ years of experience with Electronic Medical Records (EMR) systems.
• 1+ years in a hospital and/or provider setting.
• Ability to travel overnight occasionally within the region (Northeast).
• Valid state driver’s license and proof of personal vehicle liability insurance with 100/300/100 limits.

Responsibilities

• Collect medical records and conduct research to ensure accuracy of member information and obtain provider signatures.
• Travel to locations near home in assigned territory and other areas as needed; overnight travel may be required.
• Collaborate with provider offices through phone calls and visits.
• Use multiple EMR systems to access records following HIPAA guidelines.
• Use a laptop, scanner, and external thumb drive to retrieve records uploaded to a database.
• Schedule appointments and visits to physician offices to meet deadlines.
• Assist with regional phone calls and administrative projects.

Skills

EMR systems experience

Provider/hospital setting experience

Overnight travel ability

Driver's license

Tools

Microsoft 365

Job description

Humana is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to perform quality assurance audits of medical records and ICD 9/10 diagnosis codes submitted to CMS and other government agencies.

This is a remote role with field-based responsibility, requiring travel to provider offices in Pennsylvania and surrounding counties, reporting directly to the Risk Adjustment Supervisor. You will collect medical records, coordinate with offices, and ensure HIPAA-compliant handling while using