Clinical Coding Retrieval Coordinator

Contract New York, NY · Hybrid $20–$24/hour

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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