Medical Records Specialist

Position Summary The Medical Records Specialist plays a critical role in ensuring the accuracy, completeness, and usability of underwriting data used in analytics, summaries, and decision-support tools. This role blends record quality control, clinical comprehension, and refinement of AI-assisted or system-generated outputs. The ideal candidate is detail-oriented, efficient, and comfortable reviewing dense documentation across multiple document types and specialties while maintaining high accuracy and productivity standards. Key Responsibilities - Review and validate medical records for completeness, legibility, accuracy, and consistency. - Review, refine, and validate AI-assisted or system-generated outputs to ensure alignment with source records. - Interpret records across multiple provider types and specialties, including hospitals, clinics, specialists, financial records, Government Documents, and insurance applications. - Accurately identify and understand diagnoses, medications, procedures, laboratory results, vitals, and timelines. - Identify gaps, discrepancies, duplications, or conflicting information and escalate appropriately. - Ensure required data is present and remove unnecessary data per guidelines. - Maintain strict HIPAA and data security compliance. - Meet established quality, accuracy, and productivity targets. - Maintain focus and accuracy during sustained periods of detailed medical record review. - Adapt to evolving tools, workflows, and AI-driven processes. Required Skills & Abilities - Typing speed of at least 50 WPM with 95% accuracy. - Excellent reading speed, comprehension, and analytical skills. - Strong understanding of clinical concepts including diagnoses, medications, procedures, labs, vitals, and timelines. - Ability to efficiently process large, complex, and unstructured records. - Exceptional attention to detail and accuracy in data handling. - Ability to recognize subtle inconsistencies or missing information. - Comfort working in a fast-paced, high-volume environment. - Strong time-management, prioritization, and communication skills. - Ability to work independently and collaboratively within a team. Preferred Qualifications - 12–18 months of experience in healthcare operations, medical records review, QA, or a process-oriented role preferred. - Working knowledge of the U.S. healthcare system. - Familiarity with common medical terminology and abbreviations. - Experience reviewing, abstracting, or quality-checking medical records. - Medical coding or clinical documentation experience is a plus. - Proficiency with Microsoft Office and willingness to learn new platforms. - Experience in U.S. healthcare data review or administration is an advantage. - Bachelor’s degree or equivalent experience preferred.