Medical Records Retrieval Representative

Job Description

Description

The Medical Records Retrieval Representative/ Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.

Responsibilities

This a Variable Staffing Pool (VSP) position with hours of 8 AM to 3 PM which may vary in accordance with business needs. You may be eligible for medical benefits after one year of service and having worked on average 30 or more hours per week (1,560 hours total) during your first 12 months of employment.

This position requires 50% travel to provider offices in the Nevada (Henderson, Las Vegas, and surrounding areas)

The Medical Records Retrieval Representative/ Risk Adjustment Representative 2  ensures accurate and properly supported clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines while analyzing medical records.

Travel up to 50% of the time, and will consist of driving to local provider office locations as well as driving to provider locations that may require some overnight travel.
Use a laptop computer and a portable scanner to retrieve medical records which will be uploaded into a database.
Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.
Required Qualifications

Must reside in the Las Vegas/Henderson area of Nevada to be considered
Working knowledge of healthcare environment/managed care (provider office, medical records, etc.)
1+ years of experience working in a medical provider’s office or with medical records
Strong written and verbal communication skills; strong analytical, organizational and time management skills
Proficiency in Microsoft Office applications: Word and Excel
Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills including ability to learn new computer programs
This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Ability to provide a designated workspace; free from distractions with the ability to secure any protected information.
Preferred Qualifications

Experience in EMR (Electronic Medical Records) system
Additional Information

Monday-Friday 8am-5pm
This position requires 50% travel to provider offices in Nevada
Additional Information
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work-At-Home Requirements

WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Alert:  Humana values personal identity protection.  Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file.  When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting in Las Vegas, Nevada. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$37,200 – $51,150 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.