Records Retrieval Specialist
Core
Conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes submitted to CMS and other government agencies, including extensive field-based retrieval and validation at provider offices.
Role type
Medical Records Retrieval Specialist (Field & Remote)
Builds
Accurate, compliant medical record datasets for risk adjustment and government reporting
Domain
Healthcare administration / Medical coding / Government compliance
Required skills
Medical records management, ICD-9/10 coding knowledge, Microsoft 365 proficiency, high-volume data handling, EMR system familiarity, healthcare environment experience
Preferred skills
Medical terminology expertise, advanced EMR system experience, managed care background
Responsibilities
Retrieve and validate medical records on-site at provider offices, upload verified documentation to centralized repositories, adhere to HIPAA and federal regulations, manage high-volume outreach to physician offices, maintain strict confidentiality of PHI, ensure accurate reconciliation of member information
Seniority
Entry-level to Junior, hands-on operational role