Description & Requirements
Essential Duties and Responsibilities:
- Correctly identify the party from which the medical records were submitted.
- Ensure correct documents are provided to the physician reviewer and submit assigned reports accurately and timely.
- Examine case file to ensure all relevant information has been submitted.
- Review documents to determine completeness and eligibility and report identified errors appropriately and timely.
- Correctly identify non-medical records and make appropriate decision on the need for further review of these documents.
- Index hundreds of pages of medical records completely, accurately, and efficiently.
- Perform other duties as may be assigned by management.
- Perform data entry tasks with accuracy.
- High School Diploma or Equivalent required; Associate degree preferred.
- 4 to 6 years of related experience required.
- Medical-related experience preferred.
- Experience reviewing, organizing, indexing, or maintaining large volumes of records with a high degree of accuracy.
- Experience working in production-based environments with established productivity and quality standards.
- Proficiency using computer systems and databases, including experience with electronic record keeping systems.
- Experience reviewing and processing medical records, healthcare documentation, insurance records, or other regulated documentation.
- Experience performing quality control (QC) and/or quality assurance (QA) reviews.