Medical Record Retrieval Specialist - Kansas, MO

Humana • Kansas, IL

20h • Hybrid

About The Position

The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field-based responsibility, requiring travel to provider offices to retrieve, review, and validate medical records on-site in or around the Kansas City, MO area. The Medical Records Retrieval Specialist performs moderately complex administrative and operational tasks in a remote and field-based, structured environment, with a focus on accuracy, compliance, and efficiency.

Requirements

• Minimum 1 or more years of customer service experience.
• Minimum 1 or more years with medical records.
• Use Microsoft Teams and Outlook daily to coordinate meetings, manage calendars, and support internal communication.
• Experience handling high task volume across parallel workflows consistently, follow up, and a high standard of professional conduct.
• Experience articulating information to internal stakeholders and external partners.
• Knowledge or experience in 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.

Nice To Haves

• 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.

Responsibilities

• Collect medical records to ensure accuracy of member information and obtain provider signatures.
• Upload verified documents to Cotiviti centralized repository.
• Follow state and federal regulations as well as internal policies and guidelines while retrieving medical records.
• Interpret and apply departmental procedures to complete assignments with accuracy and efficiency.
• Use a laptop computer and a portable scanner and encrypted flash drive to retrieve medical records which will be uploaded into a database.
• Communicate with physician offices by phone and email to efficiently meet all deadlines.
• Maintain strict confidentiality and safeguard protected health information (PHI) in compliance with HIPAA guidelines.
• Independently manage workload within defined service level expectations.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed