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Remote Medical Records Retrieval & Data Entry Specialist – Dine‑Speaking, Critical Incident Reporting, HEDIS & HCC Support (Full‑Time, Work‑From‑Home)

Remote · USA Full-time New today

About arenaflex

arenaflex is a leading provider of health‑information services, dedicated to improving the quality of care for millions of members across the United States. Our mission‑driven teams partner with health plans, providers, and government programs to ensure that accurate, timely medical data drives better health outcomes. As a remote‑first organization, arenaflex embraces flexibility, technology, and a culture of continuous learning, empowering employees to thrive while making a meaningful impact on the healthcare ecosystem.

Why This Role Matters

In today’s data‑driven healthcare environment, the ability to retrieve, verify, and enter medical information accurately is critical. Our Medical Abstraction team relies on precise records to support HEDIS (Healthcare Effectiveness Data and Information Set), HCC (Hierarchical Condition Category) risk‑adjustment, and Medicare STAR initiatives. As a Remote Medical Records Retrieval & Data Entry Specialist, you will be the linchpin that connects raw medical documentation to actionable insights, helping clinicians close care gaps, improve member health, and meet regulatory benchmarks.

Role Overview

This full‑time, remote position reports to the Critical Incident Management RN Supervisor and works closely with the record abstraction team. You will be responsible for:

  • Retrieving medical records from a variety of sources (provider offices, hospitals, imaging centers, etc.).
  • Entering and validating data in the Critical Incident Reporting (CIR) portal and other internal systems.
  • Supporting HEDIS‑HCC outreach initiatives by providing accurate record‑based information for member outreach calls.
  • Ensuring compliance with privacy regulations (HIPAA) and internal data‑quality standards.

Key Responsibilities

Medical Record Retrieval & Data Extraction

  • Locate, request, and obtain complete medical files using secure electronic portals, fax, and phone communications.
  • Identify and extract specific data elements required for HEDIS, HCC, and other quality‑measure programs, such as lab results, imaging reports, and physician notes.
  • Maintain meticulous logs of retrieval attempts, successes, and any barriers encountered.

Critical Incident Reporting (CIR) Data Entry

  • Enter incident details into the CIR portal with a minimum accuracy rate of 90% and a typing speed of 30 wpm.
  • Validate data against source documents, correct discrepancies, and update records promptly.
  • Collaborate with the CIR team during regular meetings to discuss trends, root‑cause analyses, and process‑improvement opportunities.

Quality Assurance & Compliance

  • Perform routine audits of entered data to ensure adherence to arenaflex’s quality standards and regulatory requirements.
  • Generate and distribute reports using Excel, Access, or other data‑analysis tools to highlight performance metrics and identify areas for improvement.
  • Participate in ongoing training sessions to stay current on medical terminology, coding updates, and privacy best practices.

Communication & Team Collaboration

  • Provide clear, professional written and verbal communication with internal stakeholders, external providers, and members.
  • Assist the outreach team by supplying accurate record information that enables effective telephonic member engagement for screenings and assessments.
  • Take on additional duties as assigned, demonstrating flexibility and a proactive attitude.

Essential Qualifications

  • Education: High school diploma or GED required; additional coursework in health information management, business administration, or a related field is a plus.
  • Experience: 1–3 years of office or business experience, with demonstrated data‑entry proficiency. Prior experience in a call‑center environment or customer‑service role is preferred.
  • Medical Records Knowledge: Hands‑on experience retrieving and reviewing medical records, with a solid grasp of basic medical terminology.
  • Technical Skills: Proficiency in Microsoft Office Suite (Excel, Access), data‑entry platforms, and the ability to navigate multiple screens and applications simultaneously.
  • Communication: Strong written and verbal communication skills; ability to produce clear business documents and present findings effectively.
  • Organizational Ability: Demonstrated capacity to sort, analyze, and report on large data sets while maintaining meticulous attention to detail.
  • Typing Speed: Minimum 30 words per minute with at least 90% accuracy.
  • Language Requirement: Must be fluent in Dine (both spoken and written) to support specific member outreach initiatives.

Preferred Qualifications

  • Associate’s or Bachelor’s degree in Health Information Management, Business Administration, or a related discipline.
  • Certification such as Certified Medical Records Technician (CMRT) or Certified Health Information Technician (CHIT).
  • Experience with HEDIS, HCC, or Medicare STAR reporting processes.
  • Familiarity with HIPAA regulations and data‑privacy best practices.
  • Previous remote work experience with a proven track record of self‑motivation and time‑management.

Core Skills & Competencies

  • Analytical Mindset: Ability to interpret medical documents, extract relevant data, and spot inconsistencies.
  • Detail Orientation: Commitment to maintaining high data‑quality standards and minimizing errors.
  • Problem‑Solving: Proactive approach to overcoming retrieval obstacles and improving workflow efficiency.
  • Team Collaboration: Comfortable working within cross‑functional teams, sharing insights, and contributing to collective goals.
  • Adaptability: Flexibility to handle evolving priorities, new software tools, and changing regulatory requirements.
  • Customer‑Service Focus: Empathy and professionalism when interacting with healthcare providers and members.

Career Growth & Learning Opportunities

arenaflex invests heavily in employee development. As a Remote Medical Records Retrieval & Data Entry Specialist, you will have access to:

  • Structured onboarding and mentorship programs that pair you with seasoned abstractors.
  • Continuous education resources, including webinars on HEDIS updates, coding changes, and advanced data‑analysis techniques.
  • Opportunities to transition into senior abstractor, quality‑assurance analyst, or project‑lead roles based on performance and interest.
  • Cross‑training in related areas such as risk‑adjustment analytics, population health management, and health‑policy compliance.

Compensation, Perks & Benefits

arenaflex offers a competitive compensation package that reflects the value of your expertise and the remote nature of the role. While exact figures may vary, typical components include:

  • Hourly wage starting at $18.00 per hour, with performance‑based raises and potential bonuses.
  • Weekly pay schedule for consistent cash flow.
  • Comprehensive health, dental, and vision insurance plans.
  • Retirement savings options, including a 401(k) with company match.
  • Paid time off, sick leave, and holidays to support work‑life balance.
  • Remote‑work stipend covering home‑office equipment, internet, and ergonomic accessories.
  • Employee assistance programs, wellness initiatives, and access to virtual fitness classes.

Work Environment & Culture at arenaflex

Our remote‑first philosophy means you can work from anywhere in the United States, as long as you have a reliable internet connection. arenaflex fosters an inclusive, collaborative culture where every voice matters. Highlights of our workplace include:

  • Team Connectivity: Regular virtual huddles, coffee chats, and cross‑departmental meetings to keep you engaged.
  • Recognition Programs: Monthly awards for accuracy, speed, and teamwork, celebrating individual and group achievements.
  • Innovation Mindset: Employees are encouraged to suggest process improvements; successful ideas are implemented and rewarded.
  • Diversity & Inclusion: Commitment to building a workforce that reflects the communities we serve, with active employee resource groups.
  • Work‑Life Integration: Flexible scheduling options, allowing you to balance personal commitments while meeting business needs.

Application Process

If you are a detail‑oriented, self‑driven professional who thrives in a remote environment and meets the language requirement, we invite you to join arenaflex’s mission‑focused team. To apply, click the link below, submit your resume, and include a brief cover letter highlighting your experience with medical records retrieval and data entry.

Apply Now!

Take the Next Step

At arenaflex, your work directly contributes to improving health outcomes for thousands of members. Join us, grow your expertise, and be part of a forward‑thinking organization that values accuracy, compassion, and continuous improvement. We look forward to reviewing your application and exploring how your talents can help us achieve excellence in healthcare data management.

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