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