Medical Record Retrieval Specialist - Kansas, MO

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 Kansas City, MO 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 Normal business hours: Monday – Friday from 8:00 am – 5:00 pm CST. 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. Interpret and apply departmental procedures to complete assignments with accuracy and efficiency. Use a laptop computer and a portable scanner and encrypted flash drive to retrieve medical records which will be uploaded into a database. Communicate with physician offices by phone and email to efficiently meet all deadlines. Maintain strict confidentiality and safeguard protected health information (PHI) in compliance with HIPAA guidelines. Independently manage workload within defined service level expectations. Travel Requirements MUST reside in the Kansas City, MO Metropolitan area. Ability to travel up to 50% of the time at peak season, as needed. Must have reliable transportation. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Required Qualifications Minimum 1 or more years of customer service experience. Minimum 1 or more years with medical records. Use Microsoft Teams and Outlook daily to coordinate meetings, manage calendars, and support internal communication. Experience handling high task volume across parallel workflows consistently, follow up, and a high standard of professional conduct. Experience articulating information to internal stakeholders and external partners. Knowledge or experience in health care environment/managed care (provider office, billing, coding, release of information, etc.). This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and be expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person /$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Preferred Qualifications Knowledge or experience in health care environment/managed care. Knowledge of ICD-9/10 codes. Knowledge of medical terminology. Experience and comfort with EMR systems. Work at Home Guidance At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. 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. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 – $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our #J-18808-Ljbffr