Remote Medical Records Retrieval Specialist

Humana, Inc.; Salem (NJ); Remoto; USD 44.000 - 58.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental and vision benefits

401(k) retirement plan

Paid time off and holidays

Parental and caregiver leave

Descrizione del lavoro

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

This is a remote role with field responsibilities across Pennsylvania and New Jersey, reporting to the Risk Adjustment Supervisor. You will collect records, travel to provider offices, use EMR systems, and ensure timely retrieval and documentation while maintaining HIPAA compliance.

Competenze

• 1+ year of experience with various Electronic Medical Records (EMR) systems.
• 1+ year of experience in a hospital and/or provider setting.
• Ability to travel overnight occasionally within the region (Northeast).

Mansioni

• Collect medical records and conduct research to ensure accuracy of member information and obtain provider signatures.
• Travel to locations near home within assigned territory; overnight stays may be required.
• Collaborate with provider offices via phone and in-person visits.
• Use EMR systems in compliance with HIPAA guidelines.
• Use a laptop, portable scanner, and external thumb drive to retrieve records and upload to a database.
• Schedule appointments and visits to physician offices in a timely manner.
• Assist with regional calls and administrative projects.

Conoscenze

EMR systems

Provider setting experience

Travel readiness

Strumenti

Microsoft 365

Descrizione del lavoro

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

This is a remote role with field responsibilities across Pennsylvania and New Jersey, reporting to the Risk Adjustment Supervisor. You will collect records, travel to provider offices, use EMR systems, and ensure timely retrieval and documentation while maintaining HIPAA compliance.