Clinical Coding Retrieval Coordinator
Clinical Coding Retrieval Coordinator (RADV Medical Records)
4 Corner Resources is seeking a Clinical Coding Retrieval Coordinator to support a leading health plan's RADV risk adjustment initiatives and regulatory compliance requirements. This is a provider-facing role ideal for candidates with medical record retrieval experience who are comfortable engaging directly with hospital HIM departments and provider offices in a fast-paced, deadline-driven environment.
Contract: 6 months with strong potential for extension
Schedule: Monday–Friday 8:00 AM – 4:30 PM EST
Location: Hybrid – 3 days onsite, 2 days remote/ field work as needed.
Pay Rate: $22-24/HR
Key Responsibilities
- Expand and improve medical records acquisition processes for a risk adjustment (RADV) program
- Perform medical record reviews to ensure documentation meets RADV clinical specifications
- Retrieve medical records to support RADV and internal audit activities
- Coordinate cross-functionally with Compliance, Risk Adjustment, and HIM teams at provider and hospital sites to meet CMS retrieval deadlines
- Ensure records are accurately tracked, scanned, and saved in the appropriate internal document management system
- Maintain HIPAA compliance and ensure secure transmission of all protected health information (PHI)
- Track retrieval progress, maintain reporting dashboards, and proactively escalate risks or delays
- Travel to provider and hospital sites to obtain medical records
- Manage multiple concurrent audit requests and resolve facility-level retrieval issues
- Provide status updates on audits and projects during internal stakeholder meetings
- Prepare PowerPoint presentations for project status reporting
Qualifications
- HS diploma or GED required
- 2-3 years of medical record retrieval experience in a health plan or provider setting (or equivalent administrative experience)
- Strong writing, time management, critical/creative thinking, and communication skills
- Strong working knowledge of Microsoft Office Suite and Outlook
- Strong attention to detail with proven ability to manage high-volume workflows under tight deadlines
- Demonstrated experience coordinating with provider offices and hospital HIM departments
Preferred Qualifications
- Associate's degree or higher
- Prior experience in Managed Care/Health Insurance or a related healthcare field
- 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 across specialties using Risk Adjustment, Commercial, and CRG models
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