Medical Records Audit Coordinator

Medical Records Audit Coordinator Overview

• The Medical Records Audit Coordinator role focuses on supporting healthcare audit initiatives remotely.
• Coordinate medical record retrieval and ensure compliance with regulatory guidelines.
• Utilize advanced Excel functions to analyze audit data and create reports.
• Prepare professional PowerPoint presentations to summarize findings.
• Collaborate with departments to enhance clinical quality and documentation processes.
• Work Monday to Friday, 8:00 AM to 4:30 PM, on a 6-month contract basis.
• Ensure timely execution of RADV and HEDIS healthcare audit initiatives.
• Prevent delays in chart reviews and submissions to CMS.
• Contribute to impactful healthcare compliance and audit projects.

Medical Records Audit Coordinator Key Responsibilities & Duties

• Request medical records for enrollees selected for RADV audits.
• Analyze audit data using advanced Excel functions like pivot tables and vlookup.
• Create comprehensive reports and PowerPoint presentations.
• Coordinate audit assignments and ensure timely completion.
• Ensure medical records are accurately scanned and saved in the system.
• Support clinical quality and documentation initiatives.
• Maintain compliance with HIPAA and regulatory guidelines.
• Collaborate with colleagues to execute regulatory audits and projects.
• Perform additional duties as assigned to support audit processes.

Medical Records Audit Coordinator Job Requirements

• High School Diploma or GED required; certifications like RHIT, RHIA, CMA preferred.
• Minimum 2 years of experience in healthcare or audit-related roles.
• Proficiency in advanced Excel functions and PowerPoint presentation creation.
• Experience with RADV, Risk Adjustment, and HEDIS healthcare audit initiatives.
• Knowledge of HIPAA regulations and medical records request processes.
• Strong communication, time management, and critical thinking skills.
• Ability to work remotely and adhere to a structured schedule.
• Commitment to ensuring compliance with regulatory guidelines.
• Experience coordinating audits and managing healthcare documentation.