Medical Record Review Specialist

Overview

Reports To:

Medical Records Department Supervisor

Employment Status:
Full-Time

FLSA Status:
Non-Exempt

• Conducts regular reviews of client medical records for accuracy, completeness, and compliance with industry standards and regulatory requirements.
• Identifies inconsistencies, discrepancies, or missing documentation within the records.
• Ensures that all documentation supports the billing claims made.
• Provides detailed feedback to providers and other relevant personnel regarding documentation quality, areas of improvement, and potential risks.
• Generates regular reports on review findings, including trends, areas of concern, and recommendations for training or process improvement.
• Works closely with billing teams to address any documentation concerns that could impact the billing process.
• Collaborates with the clinical services team to ensure clarity and understanding of documentation requirements.
• Stays updated with changes in behavioral health documentation standards, regulatory requirements, and best practices.
• Participates in internal training sessions and provides insights to develop training materials based on review findings.
• Maintains a systematic method of tracking reviewed records, findings, and feedback given.
• Uses electronic health record systems and billing software proficiently.
• Contributes to the continuous improvement of internal processes, ensuring that the company's quality assurance methods are both efficient and effective.
• All other duties as assigned.

• Strong attention to detail and accuracy.
• Proficiency in electronic health record systems and billing software.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Problem-solving and critical thinking skills.

• Health Insurance
• Vision Insurance
• Dental Insurance
• 401(k) plan with matching contributions