Audit Retrieval Specialist - Remote
Not Disclosed•Full-TimeHybrid
location_onGranchina, Calle Guayama, 00917, United States
About Sharecare
Sharecare is a digital healthcare company dedicated to delivering software and tech-enabled services to stakeholders across the healthcare ecosystem. Our mission is to help improve care quality, drive better outcomes, and lower costs through data-driven AI insights, evidence-based resources, and a comprehensive platform. We empower health plan sponsors, health systems, physician practices, and pharmaceutical brands to deliver personalized, value-based care at scale.
About the Role
The Audit Fulfillment Program is the backbone of our medical records operations, tasked with tracking, retrieving, and delivering timely, accurate medical record sets to high-volume institutional requestors. This role exists to ensure that every release of information request is processed efficiently while maintaining the highest standards of accuracy and customer service.
In this position, you will be the guardian of patient privacy, ensuring that only authorized individuals access medical information and that all releases strictly comply with company policy, state laws, and HIPAA regulations. Your day-to-day involves managing complex retrieval projects for health plans and CMS campaigns, including HEDIS, DRG, Risk Adjustment, and Payment Integrity audits. You will review external audit requests, validate authorizations, and perform rigorous quality checks to guarantee completeness and compliance. Beyond technical execution, you will serve as a proactive customer service representative, building trust by understanding client needs and following through on promises.
Hiring Process
Qualified candidates will be considered for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, or protected veteran status. Sharecare is an Equal Opportunity Employer and an E-Verify user.
Equal Opportunity
Sharecare and its subsidiaries are committed to fostering a diverse and inclusive workplace. We consider qualified applicants regardless of background and do not discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status, or other non-merit factors.
Work location
Work model: Hybrid
Granchina, Calle Guayama, 00917, United States
Key Responsibilities
- check_circleReview audit requests from external entities to ensure understanding of requirements and deadlines
- check_circleIdentify audit use cases and validate requests and authorizations for medical information release
- check_circleMaintain up-to-date client account logins and track expiration dates and renewal requirements
- check_circlePerform quality checks on all work to assure completeness, accuracy, and compliance with audit criteria
- check_circleMaintain equipment in excellent operating condition and ensure a clean, orderly work area
- check_circleScan medical records accurately and transmit them daily according to established standards
- check_circleRelease medical records in an efficient, effective, and accurate manner while maintaining confidentiality
- check_circleProcess release of information requests by retrieving and returning patient medical charts
- check_circle
Requirements
- verifiedHigh School Diploma (GED) required
- verified2 years prior experience in a medical records department or like setting
- verifiedStrong computer software experience with Microsoft Word and Excel
- verifiedAbility to type 50 wpm
- verifiedAbility to use fax, copier, scanning machine
- verifiedWorking knowledge of state laws and fee structure
- verifiedAbility to work remotely and provide support in client locations
- verifiedGeographical proximity to assigned client site required
Nice to Have
A minimum of 2 years prior experience in a medical records department or like setting
Similar Job Opportunities
Skills, education and keywords
Skills: Microsoft Word, Excel, Hipaa, Hedis, DRG, Risk Adjustment, Payment Integrity, Rac, CMS Audits, Fax.
Education: High School Diploma (GED) required.
Frequently asked questions about Audit Retrieval Specialist - Remote at Sharecare
What does a Audit Retrieval Specialist - Remote at Sharecare do?expand_more
A Audit Retrieval Specialist - Remote at Sharecare is responsible for the following: Review audit requests from external entities to ensure understanding of requirements and deadlines; Identify audit use cases and validate requests and authorizations for medical information release; Maintain up-to-date client account logins and track expiration dates and renewal requirements; and Perform quality checks on all work to assure completeness, accuracy, and compliance with audit criteria.
What are the requirements for this Audit Retrieval Specialist - Remote role?expand_more
Sharecare is looking for candidates who meet the following requirements: High School Diploma (GED) required; 2 years prior experience in a medical records department or like setting; Strong computer software experience with Microsoft Word and Excel; Ability to type 50 wpm; Ability to use fax, copier, scanning machine; and Working knowledge of state laws and fee structure.
Where is the Audit Retrieval Specialist - Remote role at Sharecare located?expand_more
Audit Retrieval Specialist - Remote at Sharecare is based in Granchina, Calle Guayama, 00917, United States. This is a hybrid role.
Is this Audit Retrieval Specialist - Remote job remote, hybrid, or on-site?expand_more
Sharecare has listed this Audit Retrieval Specialist - Remote role as hybrid.
How much experience is required for this Audit Retrieval Specialist - Remote role?expand_more
Audit Retrieval Specialist - Remote at Sharecare typically requires 2+ years of relevant experience at the mid level level.
What skills do you need for the Audit Retrieval Specialist - Remote role at Sharecare?expand_more
Key skills for Audit Retrieval Specialist - Remote at Sharecare include Microsoft Word; Excel; Hipaa; Hedis; DRG; Risk Adjustment; Payment Integrity; and Rac.
What education is required for Audit Retrieval Specialist - Remote at Sharecare?expand_more
Educational requirements for this role: High School Diploma (GED) required.
What category does the Audit Retrieval Specialist - Remote role belong to?expand_more
Audit Retrieval Specialist - Remote at Sharecare is part of the healthcare & nursing job category on Recrutus.