Remote Medical Records Retrieval Specialist - Travel Required

Humana; New York (NY); Remote; USD 44,000 - 58,000; Full time

Benefits offered by this job

Medical, dental & vision benefits

401(k) retirement savings plan

Paid time off & holidays

Job summary

Humana is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to conduct quality assurance audits of medical records and ICD coding for CMS and other agencies.

The role is remote with field-based responsibilities in Pennsylvania and surrounding counties, reporting to the Risk Adjustment Supervisor. The position requires travel within the assigned territory, experience with EMR systems, and collaboration with providers.

Qualifications

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

Responsibilities

• Collect medical records and verify accuracy of member information.
• Travel to provider offices and conduct on-site retrieval of records.
• Collaborate with provider offices via phone and in-person meetings.
• Use EMR systems in compliance with HIPAA guidelines to access and review records.
• Schedule appointments and coordinate visits to physician offices.
• Assist with regional phone calls and administrative projects.

Skills

EMR systems experience

Provider/hospital setting experience

Travel willingness

Tools

Microsoft 365

Job description

Humana is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to conduct quality assurance audits of medical records and ICD coding for CMS and other agencies.

The role is remote with field-based responsibilities in Pennsylvania and surrounding counties, reporting to the Risk Adjustment Supervisor. The position requires travel within the assigned territory, experience with EMR systems, and collaboration with providers.