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1 день назад

Records Retrieval Representative (Medical Records)

40 000 - 52 300$
Формат работы
hybrid
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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 hirify.global offices for training or meetings may be required.

Salary: $40,000–$52,300 per year

Company

hirify.global 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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