Records Retrieval Representative
$40,000–$52,300 year
RemoteUnited States or Montgomery, Alabama, United States
Job Summary
Conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes submitted to CMS and other government agencies. Retrieve, review, and validate medical records on-site in or around Montgomery, AL, by collecting documents to ensure accuracy, obtaining provider signatures, and uploading verified files to the Cotiviti repository. Interpret departmental procedures to complete assignments efficiently while communicating with physician offices via phone and email to meet all deadlines. Maintain strict confidentiality and safeguard protected health information in compliance with HIPAA guidelines. Work remotely with occasional travel up to 50% of the time at peak season, reporting to the Supervisor, Risk Adjustment Administration.
Required Qualifications
- 1 or more years of customer service experience
- 1 or more years with medical records experience
- Knowledge or experience in health care environment/managed care (provider office, billing, coding, release of information, etc.)
- Experience utilizing 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
- Valid state driver's license
- Personal vehicle liability insurance
Desired Qualifications
- Bachelor's degree in a related field
- Knowledge of ICD-9/10 codes
- Knowledge of medical terminology
- Experience and comfort with EMR systems
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