Become a part of our caring community and help us put health first
 

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:

Be a part of our team- provide services that connect people with lifelong well-being.  The Medical Records Retrieval Representative’s (Risk Adjustment Representative 2) main focus is retrieving medical records from providers offices and working with health systems in the Dallas/Fort Worth area to obtain medical records through secure systems. The records are reviewed by Humana's Coding staff.

• Build relationships with provider office contacts

• Assist with other administrative tasks and projects as required by leadership

• Travel when necessary to assist with retrieval at provider offices that will consist of driving to locations close to your home, as well as driving to locations that require overnight travel for up to a week at a time

• Use a laptop computer, thumb drive and a portable scanner to retrieve medical records which will be uploaded into a database

Use your skills to make an impact
 

Required Qualifications

• 1+ years of medical records experience

• 1+ years of administrative support in a medical office/healthcare setting

• Must have reliable transportation

• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual 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

• Proficiency in Microsoft Office Word and Excel

• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn electronic medical record (EMR) systems

• Ability to travel locally up to 75% of the time throughout the Dallas/Fort Worth area

• Candidate should live within the Dallas/Fort Worth area

• Ability to travel overnight occasionally 

Preferred Qualifications

• Medical billing and coding experience (i.e. ICD-10 codes)

• Knowledge and experience in health care environment/managed care

• Critical thinking

Additional Information

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1

• Paid time off, holidays, volunteer time and jury duty pay

• Recognition pay

• 401(k) retirement savings plan with employer match

• Tuition assistance

• Scholarships for eligible dependents

• Parental and caregiver leave

• Employee charity matching program

• Network Resource Groups (NRGs)

• Career development opportunities

Interview Information:

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work At Home / Internet Information:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• 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

• Employees 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 employees with telephone equipment appropriate to meet the business requirements for