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Medical Record Retrieval Specialist - Indiana

Humana · Indianapolis, Indiana, US

Become a part of our caring community The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD‑9/10 diagnosis co...

Job description

Become a part of our caring community 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 South Bend, IN 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. Use your skills to make an impact Scheduled Hours: - The normal business hours for this position are Monday – Friday from 8:00 am – 5:00 pm EST. - Occasional schedule flexibility may be required to support business needs. Duties and 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. - Interpre...