
Humana
Records Retrieval Specialist – South Carolina
USARemotePosted 20 days ago$25,000 – $52,300
Full TimeRemoteUS
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Job Description
Become a part of our caring community The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD‑9/10 diagnosis codes submitted to the Centers for Medicare a
Key Highlights
- The normal business hours for this position are Monday – Friday from 8:00 am – 4:30 pm EST.
- Occasional schedule flexibility may be required to support business needs.
- Collect medical records and conduct research to ensure accuracy of member information and obtain provider signatures.
- Upload verified documents to Cotiviti centralized repository within 24-hour time frame.
- Follow state and federal regulations as well as internal policies and guidelines while retrieving medical records.
Qualifications
Required Qualifications
- Reside within Sumter, SC or surrounding areas; specifically, Orangeburg, Bamberg, Hampton, Allendale, Colleton, Calhoun, OR Beaufort.
- MUST be able to travel and occasionally stay overnight up to 60% of the time at peak season, as needed.
- Must have reliable car transportation.
- 1 or more years of customer service experience.
- 1 or more years with medical records.
- Use Microsoft Teams and Outlook daily to coordinate meetings, manage calendars, and communicate with supervisor and peers.
- Experience handling a high volume of tasks and follow up and maintaining a high standard of professional conduct.
- Experience articulating information to internal peers and external partners.
- Knowledge or experience in a health care environment/managed care (provider office, billing, coding, release of information, etc.)
- This role is part of Humana’s driver safety program and therefore requires an individual to have a valid state driver’s license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
- Associate’s degree or higher in a related field.
- Knowledge or experience in health care environment/managed care.
- Knowledge of ICD-9/10 codes.
- Knowledge of medical terminology.
- Experience and comfort with EMR systems.
About the Company
Humana
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Job Details
Employment Type
Full Time
Salary Range
$25,000 – $52,300
Location
USA
Work Mode
Remote
Posted
20 days ago
Country
US