Medical Record Retrieval Specialist
About The Position
This role requests and obtains medical records from healthcare providers to ensure accurate documentation of members’ health conditions and optimize risk-adjusted revenue. The specialist conducts provider outreach, coordinates efficient retrieval methods, and ensures records are received and stored in secure organizational repositories. The position requires adherence to HIPAA regulations and strict protection of medical record security and confidentiality. The employee must reside within 50 miles of Pittsburgh, Pennsylvania. The role is office-based and requires travel to provider offices, medical facilities, or a Highmark campus to obtain and prepare records. It involves collecting records within tight timeframes, documenting activity in organizational systems, coordinating with providers and team members to meet project deadlines, and preparing hard-copy records for electronic imaging. The position may also include other duties as assigned or requested.
Requirements
- Three years of prior healthcare, health insurance, or related-field experience.
- Proficiency with Microsoft Office tools, including Outlook, Excel, Word, and Visio.
- Complete all access requirements and requested forms, which may include providing a personal Social Security number and/or a copy of photo identification, as applicable, to retrieve medical records.
- High school diploma or GED.
- Strong verbal and written communication skills.
- Time-management skills and the ability to manage projects to a successful outcome.
- Organization and close attention to detail.
- Analytical ability to identify and resolve problems.
- Ability to work independently of a direct supervisor while offsite.
- Ability to adapt to change and respond professionally to difficult or challenging situations.
- Ability to work independently or in a team environment.
- Ability to handle multiple priorities and effectively prioritize tasks in a timely manner.
- Demonstrate the company’s core values of Teamwork, Integrity, Personal Responsibility, Passion, Excellence, and Respect.
Nice To Haves
- Experience with PDF viewers, readers, or editors; scanners; flash drives; document repositories; request tracking; and issue logs.
- Familiarity with medical records, medical terminology, and Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.
- Proficiency in navigating EMR/EHR systems and retrieving clinical information.
- Working knowledge of HIPAA requirements and demonstrated commitment to privacy, security, and confidentiality of protected health information.
- Associate degree in Health Information Technology or another healthcare-related field.
- Registered Health Information Technician (RHIT) certification.
Responsibilities
- Collect medical records within required timeframes and facilitate their storage in secure organizational repositories.
- Track and document activity completely, accurately, and promptly in all systems.
- Contact provider offices or facilities to request medical records and respond to inquiries about requests.
- Identify and coordinate efficient retrieval methods with providers, including onsite retrieval, secure electronic access, and secure web upload.
- Determine what constitutes a complete EMR and coordinate the process for obtaining necessary information from providers to ensure accurate information is received.
- Prepare hard-copy medical records for conversion into electronic images.
- Communicate effectively with team members and external healthcare providers to meet project deadlines.
- Travel to provider offices, medical facilities, or a Highmark campus to obtain and prepare medical records.
- Perform other duties as assigned or requested.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
