Jobs in Lancaster, PA

About the role

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 Pennsylvania and its surrounding counties, reporting directly to the Risk Adjustment Supervisor. As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will:

What you'll bring

• Reside in South Central PA within the counties of: Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry or York.
• Must be available to travel up to 100% in assigned territory and occasionally stay overnight, as needed.
• Must have reliable car transportation.
• 1 or more years of experience working with various Electronic Medical Records (EMR) systems.
• 1 or more years of experience in a hospital and/or provider setting.
• Ability to travel overnight occasionally within the region (Northeast).
• 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.
• Experience using Microsoft 365 and associated applications including Word, Excel, and Teams.
• Previous experience in a managed care setting.
• Familiarity with medical terminology and/or ICD-10 codes.
• Medical record retrieval experience.
• In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs.

Benefits

Locations