Medical Records Retrieval Specialist - Nashville
Nashville
Thursday, 23 April 2026
Collect medical records to ensure accuracy of member information and obtain provider signatures. Upload verified documents to Cotiviti centralized repository. Follow state and federal regulations as well as internal policies and guidelines while retrieving medical records. Interpret and apply departmental procedures to complete assignments with accuracy and efficiency. Use a laptop computer and a portable scanner and encrypted flash drive to retrieve medical records which will be uploaded into a database. Communicate with physician offices by phone and email to efficiently meet all deadlines. Maintain strict confidentiality and safeguard protected health information (PHI) in compliance with HIPAA guidelines. Independently manage workload within defined service level expectations. Travel Requirements:Must reside in the Nashville Metropolitan area – preferably Cheatham, Davidson, Dickson, Robertson, Rutherford, Sumner, Williamson, or Wilson counties. Ability to travel and occasionally stay overnight up to 50% of the time at peak season, as needed. Must have reliable transportation. Required Qualifications. Minimum 1 or more years of customer service experience. Minimum 1 or more years with medical records. Use Microsoft Teams and Outlook daily to coordinate meetings, manage calendars, and support internal communication. Experience handling high task volume across parallel workflows consistently, follow up, and a high standard of professional conduct. Knowledge or experience in health care environment/managed care (provider office, billing, coding, release of information, etc.)This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Preferred Qualifications. Bachelor's degree in a related field. Knowledge or experience in health care environment/managed care. Knowledge of ICD-9/10 codes. Knowledge of medical terminology. Experience and comfort with EMR systems.