Medical Records Specialist – Audit Clerk

This is a fully remote position, open to applicants in United States.

📋 Description

• Ensure that medical records are maintained in accordance with HIPAA and other regulatory guidelines.

• Evaluate medical records for completeness, accuracy, and regulatory compliance.

• Handle requests for medical records while adhering to privacy regulations.

• Manage payer audits following payer policies and health insurance regulations.

• Guarantee the prompt retrieval and delivery of medical records to patients, providers, attorneys, government entities, insurance companies, and payers.

• Monitor and address documentation deficiencies.

• Oversee compliance with healthcare regulations, accreditation standards, and organizational policies.

• Address inquiries related to medical records and audits.

• Contribute to quality enhancement initiatives concerning documentation and record management.

• Assist in internal and external compliance audits.

• Help with denials or recoupments arising from deficiencies in medical records or medical necessity.

• Collaborate with managers and administrative personnel to correct record discrepancies.

⛳️ Requirements

• A High School diploma or GED is mandatory.

• An Associate degree in Health Information Management, Medical Office Administration, Healthcare Administration, or a related field is preferred.

• 3-5 years of experience in medical records, health information management, auditing, release of information, or healthcare administration.

• Proficiency in MS Office and Electronic Health Records (EHR) systems is essential.

• Comprehensive understanding of HIPAA, medical terminology, and healthcare documentation standards.

• Familiarity with healthcare auditing processes and compliance regulations.

• Exceptional attention to detail and strong analytical abilities.

• Competence in Microsoft Office and EHR software.

• Outstanding organizational, written communication, and time management skills.

• Capability to maintain confidentiality and manage sensitive information.

• Ability to work collaboratively in a team setting.

• Capacity to function independently in a remote work environment.

• Availability Monday to Friday, from 8am to 5pm CST or EST.

🏝️ Benefits

• Competitive salary and comprehensive health benefits.

• Opportunities for professional development and training.

• Flexible work environment and remote work options.

• Supportive team culture and collaborative work environment.