
Medical Records Specialist
1 week ago
We are seeking an experienced professional to support our team in a critical role.
Job DescriptionThe successful candidate will be responsible for receiving, validating, and fulfilling medical records requests from various sources, including families/guardians, external billing companies, payers, attorneys/courts, and other authorized agencies. The ideal candidate will have experience in medical records, health information management, payer documentation support, or billing/finance operations in a healthcare setting.
Key Responsibilities- Release of Information (ROI) & Records Fulfillment:
- Intake & Triage: Receive and log all incoming records requests and acknowledge receipt using approved templates.
- Authorization Validation: Verify identity/authority of requestor, confirm scope, purpose, and expiration of authorization, check minimum necessary alignment, and confirm any special protections.
- Clinical & Provider Clearance (New): Route the request and proposed record set to the treating clinician and psychiatric/psych prescribing provider for review and written approval.
- Legal Request Handling: Review subpoenas, court orders, and payer audits and route complex/legal matters to Privacy/Compliance and Lead Accounting Assistant for guidance/approval.
- Record Preparation: Retrieve designated record sets, apply naming conventions, paginate and assemble PDFs, redact restricted content as directed, and use secure encryption for outbound delivery.
- Fulfillment & Documentation: Send records via approved secure methods, record date/time, contents, recipient, method, and authorizing document, and maintain an auditable chain of custody.
- Experience in medical records, health information management, payer documentation support, or billing/finance operations in a healthcare setting.
- Proven knowledge of HIPAA privacy/security requirements and the minimum necessary standard.
- Strong written communication skills with high accuracy in document handling, PDF redaction, and file organization.
- Proficiency in EHR or document management systems, secure email/encryption, efax, and Microsoft 365/Google Workspace.
- On-time ROI fulfillment: % requests completed within internal SLAs.
- Authorization & Clearance accuracy: % requests released with fully valid authorizations and documented provider approvals.
- Quality: Redaction and document assembly error rate.
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