Remote Medical Records Specialist: Risk Adjustment

Humana Inc

Idaho

Hybrid

USD 43,000 - 56,000

Full time

10 days ago
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Job summary

Humana Inc. is seeking a Medical Records Representative (Risk Adjustment Representative 3) to retrieve medical records from provider offices for reviews and audits. The role requires proactive outreach, adherence to HIPAA, and accurate data handling.

You will work in a remote-capable position based in Idaho with travel up to 50% statewide as needed. The successful candidate will manage a high-volume workload, ensure documentation completeness, and coordinate with providers to obtain required

Qualifications

  • 1+ years of customer service experience.

Responsibilities

  • Collect, validate, and reconcile medical records.

Skills

Customer service
Medical records
Microsoft 365
Independent work
High-volume workload
Communication
Healthcare environment

Tools

Epic EMR
Microsoft 365
Teams
Outlook

Job description

Humana Inc. is seeking a Medical Records Representative (Risk Adjustment Representative 3) to retrieve medical records from provider offices for reviews and audits. The role requires proactive outreach, adherence to HIPAA, and accurate data handling.

You will work in a remote-capable position based in Idaho with travel up to 50% statewide as needed. The successful candidate will manage a high-volume workload, ensure documentation completeness, and coordinate with providers to obtain required

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