Records Retrieval Specialist – South Carolina

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 Sumter, SC area and surrounding counties, reporting directly to the Risk Adjustment Supervisor. 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: The normal business hours for this position are Monday – Friday from 8:00 am – 4:30 pm EST. Occasional schedule flexibility may be required to support business needs. What You'll Do: Collect medical records and conduct research to ensure accuracy of member information and obtain provider signatures. Upload verified documents to Cotiviti centralized repository within 24-hour time frame. 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. Conduct a high volume of calls to 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: Reside within Sumter, SC or surrounding areas; specifically, Orangeburg, Bamberg, Hampton, Allendale, Colleton, Calhoun, OR Beaufort. MUST be able to travel and occasionally stay overnight up to 60% of the time at peak season, as needed. Must have reliable car transportation. Required Qualifications 1 or more years of customer service experience. 1 or more years with medical records. Use Microsoft Teams and Outlook daily to coordinate meetings, manage calendars, and communicate with supervisor and peers. Experience handling a high volume of tasks and follow up and maintaining a high standard of professional conduct. Experience articulating information to internal peers and external partners. Knowledge or experience in a 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 are 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 Associate's degree or higher 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 To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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 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 Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, 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 p