Audit Retrieval Specialist - Remote
Not Disclosed•Full-TimeHybrid
location_on328, West Ardenwood Drive, Ardenwood, Mid City, Baton Rouge, East Baton Rouge Parish, Louisiana, 70806, 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 enable health plan sponsors, health systems, physician practices, and pharmaceutical brands to drive personalized and value-based care at scale.
About the Role
The Audit Fulfillment Program is designed to track, retrieve, and deliver timely, accurate medical record sets for all valid use cases to high-volume institutional requestors. This position serves as a critical link in ensuring that release of information requests are processed efficiently while maintaining the highest standards of accuracy and customer service.
In this role, you will manage the end-to-end retrieval of patient medical charts, ensuring that all releases comply with specific requests, authorizations, company policies, and HIPAA regulations. You will safeguard patient privacy by strictly controlling access to medical information. Your day-to-day work involves processing complex audit requests from external entities, including HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, and CMS Audits. You will validate requirements, manage client credentials, and perform rigorous quality checks to assure completeness and compliance. Beyond technical execution, you will provide attentive customer service, proactively identifying and resolving client concerns while maintaining a professional and organized workspace.
Work location
Work model: Hybrid
328, West Ardenwood Drive, Ardenwood, Mid City, Baton Rouge, East Baton Rouge Parish, Louisiana, 70806, United States
Baton Rouge, Louisiana
Key Responsibilities
- check_circleReview audit requests from external entities to ensure understanding of requirements and deadlines
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
Day-to-day, the Audit Retrieval Specialist - Remote at Sharecare will 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
To qualify for the Audit Retrieval Specialist - Remote at Sharecare position, applicants should have: 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 328, West Ardenwood Drive, Ardenwood, Mid City, Baton Rouge, East Baton Rouge Parish, Louisiana, 70806, United States. This is a hybrid role.