Medical Records Specialist

Raventra Healthis a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Medical Records Specialist, you will manage the collection, organization, and maintenance of medical documentation needed to support billing, coding, claims, and authorization processes. You will work with provider teams and internal RCM specialists to ensure required records are complete, accurate, and available when needed.

WHAT YOU WILL DO
* Request and collect medical records and supporting documentation from provider clients
Request and collect medical records and supporting documentation from provider clients
* Review records for completeness and ensure required documentation is available for billing, coding, and claims processing
Review records for completeness and ensure required documentation is available for billing, coding, and claims processing
* Organize and maintain electronic medical records in accordance with established procedures
Organize and maintain electronic medical records in accordance with established procedures
* Track outstanding documentation requests and follow up with provider teams as needed
Track outstanding documentation requests and follow up with provider teams as needed
* Route medical records and supporting documents to the appropriate billing, coding, authorization, or claims team
Route medical records and supporting documents to the appropriate billing, coding, authorization, or claims team
* Identify missing, inconsistent, or incomplete documentation and communicate issues to the appropriate stakeholders
Identify missing, inconsistent, or incomplete documentation and communicate issues to the appropriate stakeholders
* Maintain accurate records of documentation requests, receipt status, and follow-up activities
Maintain accurate records of documentation requests, receipt status, and follow-up activities
* Support record retrieval for claim appeals, audits, and other revenue cycle activities
Support record retrieval for claim appeals, audits, and other revenue cycle activities
* Handle protected health information in accordance with HIPAA and company privacy procedures
Handle protected health information in accordance with HIPAA and company privacy procedures

WHAT WE ARE LOOKING FOR
* 1+ year of experience in medical records, health information management, medical administration, or a related healthcare role
1+ year of experience in medical records, health information management, medical administration, or a related healthcare role
* Experience working with electronic medical records or health information systems
Experience working with electronic medical records or health information systems
* Understanding of medical terminology and common healthcare documentation
Understanding of medical terminology and common healthcare documentation
* Strong attention to detail and ability to identify missing or inconsistent information
Strong attention to detail and ability to identify missing or inconsistent information
* Excellent organizational skills and ability to manage multiple documentation requests and deadlines
Excellent organizational skills and ability to manage multiple documentation requests and deadlines
* Ability to communicate effectively with provider teams and internal stakeholders
Ability to communicate effectively with provider teams and internal stakeholders
* Strong understanding of confidentiality and appropriate handling of protected health information
Strong understanding of confidentiality and appropriate handling of protected health information
* Ability to work independently and effectively in a fully remote environment
Ability to work independently and effectively in a fully remote environment
* HIPAA-compliant private workspace

HIPAA-compliant private workspace

NICE TO HAVE
* Experience with Epic, Athena, eClinicalWorks, or another major EMR system
Experience with Epic, Athena, eClinicalWorks, or another major EMR system
* RHIT or RHIA certification

RHIT or RHIA certification
* Health Information Management or Medical Records training
Health Information Management or Medical Records training
* Experience supporting medical billing, coding, prior authorization, or claims appeals
Experience supporting medical billing, coding, prior authorization, or claims appeals
* Experience working with provider groups or hospitals
Experience working with provider groups or hospitals

COMPENSATION AND BENEFITS

Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare administration expertise.

Benefits and additional employment details will be discussed during the hiring process.

HIRING PROCESS

Application review → introductory conversation → hiring manager interview → offer.

EQUAL OPPORTUNITY

Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religio