Medical Record Retrieval Specialist - Bullhead Market

Job Summary The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This remote role requires field‑based responsibility and occasional travel to provider offices to retrieve, review, and validate medical records on‑site. Schedule Monday – Friday from 8:00 a.m. – 5:00 p.m. PST. Occasional flexibility may be required to support business needs. Duties and Responsibilities Review and analyze medical records to ensure diagnosis codes are accurately supported by clinical documentation. Manage top priorities while maintaining a consistent level of organization, follow‑up, and a high standard of professional conduct. Conduct quality assurance audits with predefined health measures for CMS and other government agencies. Interpret and apply departmental procedures to complete assignments with accuracy. Independently manage workload tasks within defined service‑level expectations. Identify discrepancies in documentation and take appropriate action to resolve. Support provider‑facing education efforts related to documentation and coding accuracy, as needed. Maintain strict confidentiality and safeguard protected health information (PHI) in compliance with HIPAA guidelines. Travel Requirements MUST reside within Arizona and within a two‑hour commute of the Bullhead, AZ marketplace. Ability to travel up to 40% of the time at peak season, as needed. Must have reliable transportation. Required Qualifications 1 or more years of customer service experience. 1 or more years with medical records. Experience using Microsoft Teams and Outlook. Strong written and verbal communication skills with the ability to clearly articulate information to internal stakeholders and external partners. Knowledge and experience in health‑care environment/managed care (provider office, billing, coding, release of information, etc.). Valid state driver’s license and personal vehicle liability insurance as required by Humana’s driver safety program (minimum limits of $25,000 bodily injury per person/$25,000 bodily injury per event/$10,000 property damage or whichever is higher). Preferred Qualifications Bachelor’s degree in a related field. 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. Additional Information – Work at Home Guidance Must provide a high‑speed DSL or cable modem for a home office. Minimum standard speed of 25Mbps download × 10Mbps upload is required. Satellite and wireless internet service is NOT permitted. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Benefits Humana, Inc. and its affiliated subsidiaries offer competitive benefits, including medical, dental and vision coverage, a 401(k) retirement savings plan, paid time off, volunteer time off, paid parental and caregiver leave, short‑term and long‑term disability, life insurance and other benefits. Equal Opportunity Employer It is the policy of Humana to not 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. #J-18808-Ljbffr Humana Inc