About Humana


Job Category:

Member Quality & Financials - Risk Adjustment & STARS operations


United States

Approximate Salary:

Not Specified

Position Type:

Full Time

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Medical Records Retrieval Representative 2

Humana - Work At Home, Pennsylvania

Posted: 10/14/2018


The Medical Records Retrieval 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. The Medical Records Retrieval Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.


Be a part of our team- provide services that connect people with lifelong well-being.  The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff.

  • Travel up to 90% of the time, and 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 and a portable scanner to retrieve medical records which will be uploaded into a database.
  • Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.



  • High School Diploma
  • Professional appearance and attitude
  • Must have reliable transportation
  • Demonstrated organizational skills
  • Proficiency in Microsoft Office Word and Excel
  • Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
  • Excellent communication skills, both verbal and written
  • Ability to travel locally up to 90% of the time.  Preferred candidate to reside close to Scranton or Westbury PA
  • Ability to travel overnight occasionally 
  • This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits

    Preferred Qualifications

  • Associate’s or Bachelor’s Degree in a related field
  • Previous healthcare or health insurance experience preferred
  • Familiarity with medical terminology and/or ICD-10 codes

Scheduled Weekly Hours


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