Clinical Coding Retrieval Coordinator

Healthfirst

. Support Healthfirst initiatives and regulatory requirements related to RADV medical records acquisition .

Posted 10/14/2026full-timeUnited StatesJuniorMid-Level💰 $68,900 - $99,620 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical record retrieval and compliance with CMS RADV requirements, while effectively managing high-volume workflows and coordinating with healthcare providers. Proficient in utilizing EMR systems and Microsoft Office Suite to support health initiatives and regulatory audits.

Highest-signal resume keywords

Medical Record RetrievalCMS RADV ComplianceEMR Systems ProficiencyHigh-Volume Workflow ManagementStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewChart Requests/RetrievalsRisk Adjustment ModelingSOAP Notes IdentificationAttention to Detail

Soft Skills

Time ManagementCritical ThinkingCreative ThinkingProblem-Solving

Tools & Technologies

Microsoft Office SuiteOutlookEpicECWAthenaCerner

Certifications & Qualifications

HS DiplomaGED

Industry Keywords

Managed CareHealth InsuranceHIPAA CompliancePHI SecurityClinical Documentation

Tech Stack

Tools & technologies

SOAP

About the role

Key responsibilities & impact

Support Healthfirst initiatives and regulatory requirements related to RADV medical records acquisition
Expand and improve medical records acquisition for the RADV risk adjustment program
Perform medical record reviews for consistency with RADV clinical documentation specifications
Engage in medical record retrieval for RADV and internal audit activities
Collaborate with Compliance, Risk Adjustment, and HIM teams at providers and hospitals to meet CMS retrieval deadlines
Account for, scan, and save medical records in the appropriate Healthfirst system
Ensure compliance with CMS RADV medical record documentation requirements
Track retrieval progress, maintain dashboards, and proactively escalate risks or delays
Travel to provider sites and hospitals to obtain medical records
Manage facility-level issues to facilitate medical records acquisition
Coordinate multiple audit requests simultaneously
Provide detailed updates on regulatory audits, projects, and initiatives to internal stakeholders
Organize and prepare PowerPoint presentations for project status reports
Maintain HIPAA compliance and secure transmission of PHI
Perform additional duties as necessary

Requirements

What you’ll need

HS diploma or GED from an accredited institution
2-3 years in medical record retrieval in a health plan/provider setting or administrative experience in lieu of health care setting
Strong writing, time management, critical/creative thinking, communication, and problem-solving skills
Strong working knowledge of Microsoft Office Suite and Outlook
Ability to travel around the NYC metro area, Westchester and Long Island as well as New Jersey, Connecticut and Pennsylvania as necessary
Preferred: Associates degree or higher from an accredited institution
Prior experience in Managed Care/Health Insurance, in a health-related field or environment
Proficiency in multiple EMR systems (Epic, eCW, Athena, Cerner, etc.)
Understanding of CMS RADV requirements and medical record documentation best practices
2-3 years of experience with chart requests/retrievals using Risk Adjustment modeling
2-3 years of experience identifying SOAP notes for different specialties in a hospital, physician, or insurance environment using Risk Adjustment, Commercial, and CRG Models
Strong attention to detail
Proven experience engaging and coordinating with provider offices and hospital HIM departments
Ability to manage high-volume workflows with extreme attention to detail and tight deadlines

Benefits

Comp & perks

Medical, dental, and vision coverage
Incentive and recognition programs
Life insurance
401k contributions
Competitive compensation and benefits package