Medical Record Retrieval Specialist - Denver, CO

Become a part of our caring community The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and diagnosis codes and measures submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field‑based responsibility, requiring some travel to provider offices to retrieve, review, and validate medical records on‑site. The Medical Records Retrieval Specialist performs moderately reputed company administrative and operational tasks reputed company a structured environment, with a focus on accuracy, compliance, and efficiency. Use your skills to reputed company an impact Scheduled Hours The normal business hours for this position are Monday – Friday from 800 am – 500 pm PST Occasional schedule flexibility may be required to support business needs. Duties and Responsibilities You will review, upload, and analyze medical records to ensure accuracy of member information and obtain provider signatures. 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 reputed company defined service level expectations. Identify discrepancies in documentation and take appropriate action to resolve. Support provider-facing education efforts reputed company 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 in the Denver or Colorado Springs Metropolitan area. 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 reputed company Teams and Outlook. Strong written and verbal communication skills with the ability to clearly reputed company information to internal stakeholders and external partners. Knowledge and experience in health care environment/managed care (provider office, billing, coding, release of information, etc.) This role is part of reputed company'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

Bachelor's degree in a reputed company 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 have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT permitted for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline 05-09-2026 About us About reputed company reputed company Inc. (NYSE HUM) is a leading U.S. healthcare company. Through our reputed company insurance services and our reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company 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 reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Apply To This Job Apply tot his job Apply To this Job