Remote Medical Records Retrieval Specialist — Travel-Ready

Humana; Exton (PA); Remote; USD 44,000 - 58,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings

Job summary

Humana is seeking a Records Retrieval Specialist to conduct quality assurance audits of medical records and ICD-9/ICD-10 codes for CMS and other government agencies. This is a remote role with field travel across Pennsylvania and nearby counties, reporting to the Risk Adjustment Supervisor.

Responsibilities include collecting records, coordinating with provider offices, and using EMR systems in HIPAA-compliant processes.

Qualifications

• 1+ year experience with Electronic Medical Records (EMR) systems.
• 1+ year in a hospital or provider setting.
• Valid driver’s license and ability to travel up to 100% in PA/NJ.
• Familiarity with HIPAA guidelines.
• Experience with Microsoft 365 applications preferred.

Responsibilities

• Collect medical records and verify member information with provider signatures.
• Travel to provider offices across PA/NJ and overnight stays as needed.
• Collaborate with provider offices via phone and on-site visits.
• Access records using EMR systems in HIPAA-compliant manner.
• Schedule appointments and assist with regional calls and projects.

Skills

EMR systems

Provider setting experience

Microsoft 365

Medical terminology/ICD-10

Travel readiness

Tools

Microsoft 365

Job description

Humana is seeking a Records Retrieval Specialist to conduct quality assurance audits of medical records and ICD-9/ICD-10 codes for CMS and other government agencies. This is a remote role with field travel across Pennsylvania and nearby counties, reporting to the Risk Adjustment Supervisor.

Responsibilities include collecting records, coordinating with provider offices, and using EMR systems in HIPAA-compliant processes.