Medical Record Retrieval Specialist

Medica

. Request and retrieve medical records from provider offices, health systems, vendors, and EHR platforms using phone, email, fax, portals, and approved systems .

Posted 10/9/2026full-timeRemote • United StatesJuniorMid-Level💰 $41,300 - $70,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical record retrieval and management, ensuring compliance with HIPAA and CMS regulations while maintaining accurate documentation and effective communication with providers and internal stakeholders.

Highest-signal resume keywords

Medical Record RetrievalHEDIS Hybrid ReviewsCMS Cost AuditsAdobe Acrobat ProficiencyMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record RetrievalHEDIS Hybrid ReviewsCMS Cost AuditsData ValidationQuality ChecksEHR Systems FamiliarityRecord ManagementDocumentation StandardsVersion ControlAudit Readiness

Soft Skills

Verbal CommunicationWritten CommunicationOrganizational SkillsTime ManagementIndependent Prioritization

Tools & Technologies

Adobe AcrobatMicrosoft OfficeSharePointTeamsEpicCerner

Industry Keywords

Healthcare OperationsClinical SupportRegulatory AuditsPHI HandlingHealth Information Management

About the role

Key responsibilities & impact

Request and retrieve medical records from provider offices, health systems, vendors, and EHR platforms 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 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-ups with providers
Validate records against audit and project requirements
Partner with clinical reviewers, auditors, and data teams to clarify documentation needs
Upload, index, and organize records in designated systems such as SharePoint and internal audit tools
Maintain accurate file naming, version control, record association, and real-time retrieval tracking
Perform quality checks to ensure records are audit-ready
Serve as a point of contact for providers regarding record requests and submissions
Provide status updates to internal stakeholders
Document outreach and escalation activities
Handle PHI in accordance with HIPAA, CMS, and organizational policies
Use approved secure methods for record transmission and storage
Perform other assigned duties

Requirements

What you’ll need

High school diploma or equivalent experience
2 years of experience in medical record retrieval, healthcare operations, clinical support, or related field
Proficiency with Adobe Acrobat
Proficiency with Microsoft Office, including Outlook, Excel, SharePoint, and Teams
Must have a primary home address in a state where Medica is registered as an employer: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Texas, Virginia, or Wisconsin
Must be legally authorized to work in the United States at the time of application
Medica does not offer work visa sponsorship
Excellent verbal and written communication skills
Strong organizational and time-management skills
Ability to manage multiple priorities independently
Experience with HEDIS, CMS Cost Audits, RADV, or other regulatory audits preferred
Familiarity with EHR systems such as Epic and Cerner preferred
Experience working with provider offices or HIM departments preferred
Knowledge of healthcare quality measures or regulatory documentation standards preferred
Associate degree or higher in Health Information Management or related field preferred

Benefits

Comp & perks

Competitive medical, dental, and vision benefits
PTO
Paid holidays
Paid volunteer time off
401(k) contributions
Caregiver services
Other total rewards benefits