About this role
Roles & Responsibilities:
• Reviews patient medical records for accuracy, completeness, and compliance with internal and external standards. • Verifies that documentation aligns with clinical requirements, organizational policies, and regulatory guidelines. • Ensures all required forms, consents, authorizations, and supporting documents are correctly completed and attached. • Identifies gaps, inconsistencies, or missing information and flags them for corrective action. • Reviews medical necessity, supporting documents, physician orders, and clinical notes required for medical record requests or • billing processes.
Desired Skills:
• Medical terminology knowledge—strong understanding of clinical terms, diagnoses, procedures, and abbreviations • Good communication & framing emails • Knowledge of clinical documentation standards • Understanding of healthcare regulations (e.g., HIPAA compliance) • Experience with Electronic Health Records (EHR) systems • Ability to interpret physician notes, lab reports, discharge summaries, and operative reports • Quality assurance and audit skills