1 день назад
Records Retrieval Representative (Medical Records)
40 000 - 52 300$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Records Retrieval Representative (Medical Records): Retrieving, reviewing, validating, and uploading medical records for CMS and government-agency risk adjustment audits with an accent on accuracy, regulatory compliance, and protected health information. Focus on conducting on-site provider-office retrievals, applying ICD-9/10 and departmental procedures, and managing high-volume workflows during peak-season travel.
Location: Remote with field-based responsibility; must reside in Montgomery, Alabama, or Pike, Crenshaw, Butler, Bullock, Lowndes, Autauga, or Elmore counties. Travel to provider offices may reach 50% during peak season; occasional travel to offices for training or meetings may be required.
Salary: $40,000–$52,300 per year
Company
is a U.S. healthcare and health insurance company serving Medicare, Medicaid, families, individuals, military personnel, and communities.
What you will do
- Retrieve medical records from provider offices and obtain provider signatures.
- Review and validate member information, medical records, and ICD-9/10 diagnosis codes for risk adjustment audits.
- Upload verified documents to the Cotiviti centralized repository using a laptop, portable scanner, and encrypted flash drive.
- Communicate with physician offices by phone and email to meet deadlines.
- Apply state and federal regulations, internal procedures, and HIPAA requirements while safeguarding protected health information.
- Independently manage high-volume workloads within defined service-level expectations.
Requirements
- At least 1 year of customer service experience.
- At least 1 year of medical records experience.
- Knowledge or experience in a healthcare or managed-care environment, such as provider offices, billing, coding, or release of information.
- Daily experience using Microsoft Teams and Outlook.
- Ability to manage parallel, high-volume workflows and maintain professional conduct.
- Valid state driver's license, reliable transportation, and personal vehicle liability insurance meeting state minimums or the specified coverage limits.
Nice to have
- Bachelor's degree in a related field.
- Knowledge of ICD-9/10 codes and medical terminology.
- Experience with EMR systems.
Culture & Benefits
- Full-time schedule of 40 hours per week, normally Monday–Friday, 8:00 a.m.–5:00 p.m. CST.
- Occasional schedule flexibility may be required.
- Dedicated, interruption-free workspace and home internet with at least 25 Mbps download and 10 Mbps upload are required to protect PHI and support work.
- Benefits include medical, dental, and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
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