Medical Records Retrieval Specialist

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 remote role requires travel to provider offices in or around Montgomery, AL to retrieve, review, and validate medical records on-site.

Work hours are Monday to Friday, 8:00 am to 5:00 pm CST with occasional schedule flexibility.

Responsibilities include collecting medical records to ensure accuracy of member information, obtaining provider signatures, uploading verified documents to a centralized repository, adhering to state and federal regulations and internal policies, using laptop and portable scanning equipment, communicating with physician offices, maintaining confidentiality and compliance with HIPAA, and managing workload independently within service level expectations.

Travel up to 50% at peak season is required; candidates must have reliable transportation and reside in or near Montgomery, AL.

Apply knowledge of healthcare environment, medical terminology, ICD-9/10 codes, and EMR systems.

Humana offers competitive benefits including medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.

Humana is an Equal Opportunity Employer committed to diversity and inclusion.