Humana

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.

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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