Remote Medical Records QA & Compliance Auditor

Humana; United States; Remote; USD 42,000 - 70,000; Full time

Job summary

Humana is seeking a Medical Records Retrieval Specialist to perform quality assurance audits on medical records and ICD-9/10 codes for CMS and other agencies. This remote role requires on-site travel to provider offices around Smyth County, VA, reporting to the Risk Adjustment Supervisor.

The role emphasizes accuracy, HIPAA compliance, and efficient processing in a field-based, structured environment. Remote working/work at home options are available for this role.

Qualifications

• HIPAA compliance and PHI handling are required.
• Quality assurance experience in medical records is a plus.
• Strong attention to detail and timely follow-up are essential.

Responsibilities

• Perform quality assurance audits on medical records and ICD-9/10 coding for CMS and other agencies.
• Coordinate with physician offices to meet deadlines and ensure HIPAA compliance.
• Maintain secure handling of PHI and support field-based operations with remote availability.

Skills

HIPAA compliance

PHI handling

Quality assurance

Attention to detail

Communication

Tools

ICD-9/10 coding knowledge

Job description

Humana is seeking a Medical Records Retrieval Specialist to perform quality assurance audits on medical records and ICD-9/10 codes for CMS and other agencies. This remote role requires on-site travel to provider offices around Smyth County, VA, reporting to the Risk Adjustment Supervisor.

The role emphasizes accuracy, HIPAA compliance, and efficient processing in a field-based, structured environment. Remote working/work at home options are available for this role.