Remote Records Retrieval Specialist: Travel Ready

Humana, Inc.; Philadelphia (Philadelphia County); Hybrid; USD 44,000 - 58,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off & holidays

Job summary

Humana, Inc. is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to audit medical records and ICD-9/10 codes submitted to CMS and other government agencies.

This is a remote role with field responsibility in Pennsylvania and surrounding counties, reporting to the Risk Adjustment Supervisor. Responsibilities include collecting records, coordinating with providers, and scheduling visits; travel up to 100% may be required within the Northeast.

Qualifications

• 1+ year of EMR system experience.
• Experience in a hospital or provider setting.
• Ability to travel overnight within the Northeast region.

Responsibilities

• Collect medical records and conduct research to ensure accuracy of member information.
• Coordinate with provider offices via phone and in-person visits.
• Travel within the assigned territory; overnight travel may be required.

Skills

EMR systems experience

Hospital or provider setting

Willingness to travel overnight

Driver license & vehicle insurance

Tools

Microsoft 365 (Word, Excel, Teams)

Job description

Humana, Inc. is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to audit medical records and ICD-9/10 codes submitted to CMS and other government agencies.

This is a remote role with field responsibility in Pennsylvania and surrounding counties, reporting to the Risk Adjustment Supervisor. Responsibilities include collecting records, coordinating with providers, and scheduling visits; travel up to 100% may be required within the Northeast.