Medical Records Retrieval Representative

Profile

Description

The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Risk Adjustment Representative 2 (Medical Records Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments

Responsibilities

Be a part of our team- provide services that connect people with lifelong well-being. Associate's main focus is retrieving medical records from providers o and working with health systems in the DFW area to obtain medical records through secure systems. The records are reviewed by Humana's Coding staff.

Build relationships with copy service contacts and provider office contacts

Assist with other administrative tasks and projects as required by leadership

Travel when necessary to assist with retrieval at provider offices that will consist of driving to locations close to your home, as well as driving to locations that require overnight travel for up to a week at a time

Use a laptop computer, thumb drive and a portable scanner to retrieve medical records which will be uploaded into a database.

Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.

Preferred Skillset

-organized

-self-starter

-professional

-excellent verbal and written communication skills

-advanced customer service skills

-relationship builder

Required Qualifications

3 years of medical records experience

3 years of administrative support in a medical office/healthcare setting

Must have reliable transportation

Proficiency in Microsoft Office Word and Excel

Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

Ability to travel locally up to 75% of the time throughout TX, AR and OK.

Candidate should live in the States of TX, AR or OK

Ability to travel overnight occasionally

This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

According to Humana's COVID-19 policy, vaccination and masking is required regardless of vaccination status (with exception for eating and drinking) for associates working in a clinical setting where patients receive care (e.g., pharmacy retail locations, clinics, home care). The policy only requires the primary series alone (first and second vaccine). Boosters are encouraged, but not required. Associates have the option to request an accommodation for medical, religious or other personal needs.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership

Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com