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Medical Records Retrieval Representative

Humana

Company : Humana

Location : Newark, NJ, 07102

Posted Date : 28 October 2025

Job Details

Medical Records Retrieval Representative (Risk Adjustment Representative 2)

The Medical Records Retrieval Representative (Risk Adjustment Representative 2) travels to provider offices within New Jersey and scans medical records into a secure system. The records are reviewed by Humana's Coding staff.

Responsibilities include:

  • Travels up to 100% in assigned territory and other areas as needed.
  • Travel will consist of driving to locations close to your home in an assigned territory and other areas as needed. Overnight travel may be required within the Northeast region on occasion.
  • Collaborates with provider offices through phone calls and visits.
  • Uses multiple EMR systems to access records following all HIPAA guidelines.
  • Uses a laptop computer, portable scanner, and external thumb drive to retrieve medical records which will be uploaded into a database.
  • Schedules appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.
  • Will assist with regional phone calls and administrative projects as needed.

Required Qualifications:

  • 1 or more years of experience working with various Electronic Medical Records (EMR) systems
  • 1 or more years of experience in a hospital and/or provider setting
  • Reside in New Jersey within the counties of Bergen, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Richmond(DSNY), Somerset, Sussex, Union, Warren
  • Must be available to travel up to 100% of the time, occasional overnights
  • This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

Preferred Qualifications:

  • Proficiency in Microsoft Office applications, including Word, Excel, and Teams
  • Previous experience in a managed care setting
  • Familiarity with medical terminology and/or ICD-10 codes
  • Medical record retrieval experience

Hours: 8 hour workday between the hours of 7am and 6pm, chosen by the associate. Subject to change based on region's needs.

This role will be located in the state of New Jersey (counties: Bergen, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Richmond, Somerset, Sussex, Union, Warren) with travel to other areas as needed.

Scheduled Weekly Hours: 40

Pay Range: $40,000 - $52,300 per year

Description of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Equal Opportunity Employer: It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.

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