Audit Retrieval Specialist - Remote

Essential Job Functions

• Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
• Specifically focused on retrieval projects for health plan and CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, CMS Audits
• Receives and reviews audit requests from external entities, ensuring understanding of requirements and deadlines. Identifies audit use case, validates requests and authorizations for release of medical information according to established procedures.
• Maintains up-to-date client account logins/credentials for all assigned locations, including tracking expiration dates and renewal requirements.
• Performs quality checks on all work to assure completeness, accuracy, and compliance with audit criteria and requirements.
• Maintains a neat, clean, and professional personal appearance and observes the dress code established.
• Maintains a clean and orderly work area, ensures that records and files are properly stored before leaving area.

Qualifications

• A High School Diploma (GED) required
• A minimum of 2 years prior experience in a medical records department or like setting preferred
• Requires strong computer software experience – general working knowledge of Microsoft Word and Excel required
• Requires ability to work remotely and at times provide support in client locations. Geographical proximity to the assigned client site required.
• Excellent organizational skills a must
• Must be able to type 50 wpm
• Must be able to use fax, copier, scanning machine
• Must be willing to learn new equipment and processes quickly
• Must be self-motivated, a team player
• Must have proven customer satisfaction skills
• Must be able to multi-task