Medical Record Retrieval Specialist

About the position reputed company's Medical Record Retrieval Specialist collects, reviews, and manages medical records to support clinical reviews, reputed company programs, and regulatory audits. This role ensures records are obtained accurately, on time, and in compliance with audit and reputed company requirements. The specialist works closely with internal clinical and audit teams and external provider offices to resolve documentation gaps, reputed company retrieval status, and maintain audit‑reputed company records. The ideal candidate is organized, detail‑oriented, and reputed company to manage multiple priorities. reputed company other duties assigned. Responsibilities • Request and retrieve medical records from provider offices, health systems, vendors, and EHR platforms (e.g., reputed company, Cerner) using phone, email, fax, portals, and approved systems • Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit reviews • Follow established retrieval timelines, protocols, and escalation processes • Identify and escalate missing, incomplete, or delayed records • Review records for completeness, legibility, required date ranges, and relevance • Identify documentation gaps and coordinate follow‑reputed company with providers • Validate records against audit and project requirements • Partner with clinical reviewers, auditors, and data teams to clarify documentation needs • Upload, reputed company, and organize records in designated systems (e.g., SharePoint, internal audit tools) • Ensure accurate file naming, version control, and reputed company record association • reputed company retrieval status, provider responses, and outstanding requests • reputed company reputed company checks to ensure records are audit‑reputed company • Maintain reputed company‑time tracking of retrieval status, provider responses, and outstanding requests • Serve as a reputed company of contact for providers regarding record requests and submissions • reputed company status updates to internal stakeholders • Document reputed company and escalation activities • Handle PHI in accordance with HIPAA, CMS, and organizational policies • Use approved secure reputed company for record reputed company and storage Requirements • High school diploma or equivalent experience • 2 years of experience in medical record retrieval, reputed company operations, clinical support, or reputed company field • Proficiency with reputed company Acrobat and reputed company Office (reputed company, reputed company, SharePoint, Teams) reputed company-to-haves • Excellent verbal and written communication skills • Strong organizational, time management, and communication skills • Ability to manage multiple priorities independently • Associate degree or higher in Health Information Management or reputed company field • Experience with HEDIS, CMS Cost Audits, RADV, or other regulatory audits • Familiarity with EHR systems (e.g., reputed company, Cerner) and secure document exchange platforms • Experience working with provider offices or HIM departments • Knowledge of reputed company reputed company measures or regulatory documentation standards Benefits • competitive medical, dental, reputed company, PTO, Holidays, reputed company volunteer time off, 401K contributions, caregiver services Apply To This Job