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The Medical Records Retrieval Specialist conducts quality assurance audits of medical records, diagnosis codes, and measures submitted to CMS and other government agencies. This remote role involves field-based responsibilities requiring travel to provider offices to retrieve, review, and validate medical records on-site.
Responsibilities include reviewing, uploading, and analyzing medical records to ensure accuracy, obtaining provider signatures, managing priorities and organization, conducting quality assurance audits, interpreting departmental procedures, managing workload independently, resolving documentation discrepancies, supporting provider education on documentation and coding, and maintaining confidentiality and HIPAA compliance.
Scheduled hours are Monday to Friday, 8:00 am to 5:00 pm PST with occasional flexibility. Travel up to 40% is required, residing in Denver or Colorado Springs metro area is mandatory.
Candidates must have one or more years of experience in customer service and medical records, proficiency with Microsoft Teams and Outlook, strong communication skills, knowledge of healthcare environment or managed care, and a valid driver's license with required vehicle insurance. Knowledge of ICD-9/10 codes, medical terminology, EMR systems, and a Bachelor's degree are preferred.
Humana provides comprehensive benefits including medical, dental, vision, retirement plans, paid time off, disability, life insurance, and other wellness programs.
Application deadline is May 9, 2026.
- 1+ years of customer service experience
- 1+ years of experience with medical records
- Experience with Microsoft Teams and Outlook
- Strong written and verbal communication skills
- Knowledge and experience in healthcare environment/managed care (billing, coding, release of information)
- Valid state driver's license and vehicle insurance
Preferred:
- Bachelor's degree in related field
- Knowledge of ICD-9/10 codes
- Knowledge of medical terminology
- Experience with EMR systems
Humana offers competitive benefits supporting whole-person well-being including medical, dental, vision, 401(k) retirement savings, paid time off, paid parental and caregiver leave, short-term and long-term disability, life insurance, and other opportunities.
Location
Denver, Colorado, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$40,000 - $52,300
Remote work allowed
Yes
Posted
3 weeks ago