Medical Records Specialist
Med Review Inc
Medical Records SpecialistAt MedReview, our mission is to bring accuracy, accountability and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the Document Management leaders, the Medical Records Specialist is responsible for processing all medical records received in a timely and efficient manner, ensuring accuracy, and providing customers with the highest quality product and customer service. This is an on-site position based in New York City, with working hours 9:00 a.m. - 5:00 p.m.Responsibilities:To ensure accurate and timely data entry of incoming records and appealsTo review correspondence received and identify the type of document being submitted for actionTo acknowledge correspondence for Document Management processingTo identify late appeal request, and notify to Operations Unit Manager for claims dispositionTo demonstrate knowledge of filing and retrieving hard copy and electronic documents (letters, worksheets, charts, etc.)To contact Operation Unit Manager for further medical records processingTo assist reviewer in locating unidentified documentsTo raise inquiries or issues through the Halo platformFollow updated policies and proceduresQualifications:Ability to process all medical records, in a timely and efficient manner and ensuring accuracyMotivated, organized, detail oriented, responsible, and reliable, with the ability to multi-task and be able to work independently.Excellent communication and problem-solving skillsAbility to access multiple system platformsAbility to understand and become knowledgeable of policies & procedures, HIPAA regulations and to complete work in compliance with these and other standards.Ability to read and comprehend simple, healthcare terminology. For example, DRG, Cost Outlier, Readmission is preferredData-entry experience with excellent typing skills required.Ability to learn new processes in a fast-paced environment.Experience with previous release of information, medical records, or other related experience in a healthcare environment is preferred.Effective verbal and written communication skills with the ability to communicate in English (verbally and in writing).
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