Medical Records Specialist (Onsite)
US-FL-Sunrise
careers
Req #: 50306
Type: Full Time
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Overview: We have an exciting Medical Records Specialist Career opportunity and are looking for a great individual to join our team. Pediatrix Medical Group is a physician lead organization, and we are one of the nation's largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We offer a diverse range of opportunities, competitive salaries and benefits, and a commitment to clinical excellence, we are confident that you'll love being a part of the Pediatrix team. Responsibilities: The Medical Records Specialist is responsible for maintaining the integrity, confidentiality, and accuracy of patient health records in compliance with HIPAA regulations, company policies, and relevant state and federal laws. The Medical Records Specialist ensures prompt responses to medical records requests in accordance with state and federal laws. This role also assists with external payor audits and reviews by managing and responding to medical records requests from payors and regulatory agencies. * Process patient medical record requests in accordance with HIPAA and internal guidelines, ensuring compliance. * Respond to inquiries from patients, providers, legal representatives, and third parties regarding medical records. * Collaborate with various internal departments (such as Legal, Medical Coding, and Revenue Cycle Management) to research and address medical record inquiries. * Coordinate and fulfill medical record requests related to external payor audits, including those from commercial payors, Medicare, Medicaid, or Recovery Audit contractors. * Work with Revenue Cycle Management, Compliance, Clinical Operations, and Legal to ensure timely, accurate, and complete audit responses. * Track and document audit-related activities to support internal reporting and adherence to response timelines. * Maintain or develop new record retention policies and procedures, as needed, to document retention requirements in accordance with state, federal, or internal guidelines. * Other responsibilities as requested. * Assist the External Payor Auditor Manager by collecting and reviewing medical records to ensure completeness and compliance with external payor audit criteria. Qualifications: Education/Experience: * Bachelor's degree (B.A.) from a four-year college or university; or equivalent combination of education and experience * 2+ years in medical records or health information management * Prior Healthcare Experience Knowledge/Skills: * Knowledge of HIPAA and medical terminology * Professional handling of sensitive information * Strong communication skills and attention to detail * Analytical and organizational proficiency Software: * Proficient with Microsoft Office and Adobe Acrobat Willing to travel up to 25% for business as needed
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