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Medical Record Review Coordinator

3 weeks ago

Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking a skilled professional to oversee the quality of patient medical records, ensuring they meet the highest standards of accuracy and completeness. This role requires a deep understanding of clinical documentation principles and the ability to analyze complex medical information with precision.

Responsibilities:
  • Evaluate patient records for clarity, completeness, and consistency in clinical documentation.
  • Analyze diagnoses, treatments, and care documentation for accuracy and adherence to established standards.
  • Flag documentation gaps, inconsistencies, or ambiguities for clarification and improvement.
  • Collaborate with internal teams to provide feedback and support documentation improvement initiatives.
  • Ensure compliance with internal standards, HIPAA regulations, and external quality and audit requirements.
  • Monitor documentation trends and contribute to internal reviews and quality improvement initiatives.
  • Maintain confidentiality and attention to detail in all documentation processes.
  • Work independently with a focus on record review, without direct patient interaction.
Requirements:
  • Bachelor's degree in Nursing, Health Information Management, or a related healthcare field.
  • Minimum 2 years of experience in clinical documentation review, medical records, or healthcare quality.
  • Strong clinical knowledge and understanding of medical terminology and care workflows.
  • Fluent in English (spoken and written) with excellent communication and documentation skills.
  • Comfortable working in an evening shift environment, 6:00 PM to 2:00 AM, 6 days a week.
  • Proficient in using Electronic Health Record (EHR) systems.
  • Certification in Clinical Documentation Improvement (CCDS, CDIP) is highly desirable but not required.