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Audit Retrieval Specialist - Remote

Work from home Full-time role Hiring

Job SummaryThe mission of the Audit Fulfillment Program is to track, retrieve, & deliver timely, accurate medical record sets, for all valid use cases, to high-volume institutional requestors.This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service.Associate must always safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.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 AuditsReceive and review 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.Maintain equipment in excellent operating condition (inside and out).Provides excellent customer service by being attentive and respectful; ensures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.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.Maintains working knowledge of the existing state laws and fee structureWorks within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogsCarries out responsibilities in accordance with client / site policies and procedures, including HIPAA, state / federal regulations related to operations, and labor regulations.Maintains confidentiality, security and standards of ethics with all information.Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.Qualifications :High School Diploma (GED) requiredA minimum of 2 years prior experience in a medical records department or like setting preferredMust have strong computer software experience - general working knowledge of Microsoft Word and Excel requiredRequires ability to work remotely and at times provide support in client locations.Geographical proximity to the assigned client site required.Excellent organizational skills a mustMust be able to type 50 wpmMust be able to use fax, copier, scanning machineMust be willing to learn new equipment and processes quickly.Must be self-motivated, a team playerMust have proven customer satisfaction skillsMust be able to multi-task.

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