Job Overview
Location
Remote Pennsylvania
Job Type
Full-time
Category
Other
Date Posted
April 28, 2026
Full Job Description
đź“‹ Description
- • The Medical Records Retrieval Specialist (Risk Adjustment Representative 2) plays a critical role in supporting Humana’s risk adjustment processes by retrieving and digitizing medical records from provider offices to ensure accurate coding and compliance.
- • Day-to-day responsibilities include traveling up to 100% of the time within assigned territories in Philadelphia and Montgomery counties, visiting provider offices to collect medical records, using portable scanners and laptops to scan documents, scheduling appointments efficiently, and collaborating with provider staff via phone and in-person visits while adhering to HIPAA guidelines.
- • The role is part of Humana’s Risk Adjustment Administration team, which supports accurate risk adjustment coding essential for Medicare and Medicaid reimbursement accuracy, contributing to better health outcomes for members.
- • This position offers the opportunity to develop expertise in medical record systems, HIPAA compliance, healthcare documentation workflows, and provider relationship management within a leading national healthcare organization.
🎯 Requirements
- • 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 Pennsylvania within the counties of Philadelphia or Montgomery
- • Valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits
- • Ability to travel up to 100% of the time, including occasional overnight travel within the Northeast region
🏖️ Benefits
- • Competitive pay range of $44,000 - $57,500 per year
- • Comprehensive medical, dental, and vision benefits
- • 401(k) retirement savings plan with company match
- • Paid time off including holidays, volunteer time, and parental/caregiver leave
- • Short-term and long-term disability, life insurance, and other wellness benefits
Skills & Technologies
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About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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