4 Corner Resources is seeking a Medical Records Retrieval Coordinator to support a leading health plan's RADV risk adjustment initiatives and regulatory compliance requirements. This provider-facing role involves direct engagement with hospital HIM departments and provider offices in a fast-paced, deadline-driven environment.
Contract: 6 months with strong potential for extension
Schedule: Monday-Friday, 8:00 AM - 4:30 PM EST
Location: Hybrid - 3 days onsite, 2 days remote / field work as needed
Pay Rate: $22-$24/hr
Key responsibilities
- Expand and improve medical records acquisition processes for a RADV risk adjustment program
- Perform medical record reviews to ensure documentation meets RADV clinical specifications
- Retrieve medical records to support RADV and internal audit activities
- Coordinate with Compliance, Risk Adjustment, and HIM teams at provider and hospital sites to meet CMS retrieval deadlines
- Track, scan, and save records in the appropriate internal document management system
- Maintain HIPAA compliance and secure transmission of protected health information (PHI)
- Monitor retrieval progress, maintain reporting dashboards, and escalate risks or delays
- Travel to provider and hospital sites to obtain medical records
- Manage multiple concurrent audit requests and resolve facility-level retrieval issues
- Provide status updates during internal stakeholder meetings
- Prepare PowerPoint presentations for project status reporting
Requirements & Qualifications
- HS diploma or GED required
- 2-3 years of medical record retrieval experience in a health plan or provider setting, or equivalent administrative experience
- Strong writing, time management, critical/creative thinking, and communication skills
- Strong working knowledge of Microsoft Office Suite and Outlook
- Strong attention to detail and ability to manage high-volume workflows under tight deadlines
- Demonstrated experience coordinating with provider offices and hospital HIM departments
- Associate's degree or higher preferred
- Prior experience in managed care, health insurance, or a related healthcare field preferred
- Proficiency in multiple EMR systems such as Epic, eCW, Athena, or Cerner preferred
- Understanding of CMS RADV requirements and medical record documentation best practices preferred
- Experience with chart requests/retrievals using risk adjustment modeling preferred
- Experience identifying SOAP notes across specialties using Risk Adjustment, Commercial, and CRG models preferred
Location
New York, New York, US
Employment Type
Temporary
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago
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