What are the responsibilities and job description for the Medical Records and Documentation Review Specialist position at Mainspring Recovery?
Job Summary
This is a flexible opportunity for an individual who is looking to play a critical role in a high growth, behavioral healthcare company. The dual purpose of this position is to serve as the gatekeeper of all medical records requests for the organization and to review client medical records to ensure accurate and complete documentation is maintained by our care team while signaling potential opportunities to improve care and client experience. This role reports directly to the Chief Compliance Officer.
Responsibilities Include
EDUCATION/CREDENTIALS
Mainspring Recovery is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.
Job Type: Full-time, 40 hours per week, remote option available.
This is a flexible opportunity for an individual who is looking to play a critical role in a high growth, behavioral healthcare company. The dual purpose of this position is to serve as the gatekeeper of all medical records requests for the organization and to review client medical records to ensure accurate and complete documentation is maintained by our care team while signaling potential opportunities to improve care and client experience. This role reports directly to the Chief Compliance Officer.
Responsibilities Include
- Completing biweekly chart audits for accuracy and completion for all of Mainspring’s locations and levels of care
- Pulling charts and overseeing peer reviews and monthly documentation quality audits for all of Mainspring’s locations and levels of care
- Creating and distributing chart review deficiency reports to applicable members of leadership
- Keeping weekly reports detailing the number of charts reviewed and relevant compliance metrics
- Creating and ongoing refinement of QA/QI tools (i.e. spreadsheets, templates, etc.)
- Timely reviewing, prioritizing, validating, and processing client document requests for Release of Information / Document Review / Record Retrieval for all incoming and outgoing requesting individuals and entities
- Ensuring records are transmitted in the requested format
- Ensuring ROIs on file are current and securing new ones for expired ROIs
- Ensuring confidentiality of all medical records information including maintaining chart control, access, and storage in accordance with medical, legal, and regulatory federal and state requirements
- Interfacing with third party requestors, e.g. clients, law enforcement officials, other providers, attorneys as needed, while providing an exceptional customer experience
- Drafting documentation requests and releases, as needed, for approval
- Escalating any privacy or security related questions or concerns coming from clients or staff
- Identifying process gaps and making recommendations, as appropriate, regarding ongoing in-house training and process improvement
- Performing other functions related to the position as assigned
EDUCATION/CREDENTIALS
- High school diploma or GED required
- Some college preferred
- Clinical experience/credentials preferred
- Minimum of two years clerical experience in a healthcare environment required.
- Previous experience working in a behavioral health treatment setting preferred.
- Previous experience working with Kipu is a significant plus.
- This role requires strict HIPAA and 42 CFR Part 2 compliance and is responsible for safeguarding all client medical documentation on behalf of the organization
- Strong technology skills required
- Exercises good judgment and functions independently
- Completes tasks with attention to detail, meets established deadlines, and functions with minimal direct supervision
- Demonstrates the ability to organize and prioritize required and assigned job duties
- Capable of occasional travel as required for onsite meetings and job-related training
Mainspring Recovery is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.
Job Type: Full-time, 40 hours per week, remote option available.
Medical Receptionist
Specialist Office -
Reston, VA
Medical Records Specialist
Dominion Hospital -
Falls, VA
Medical Records Admin Specialist
Department of Behavioral Healt -
Washington, DC
