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Clinical Documentation Specialist
LimitlessliClinical Documentation Specialist retrieving and reviewing medical records for healthcare compliance. Responsible for tracking requests, maintaining confidentiality, and ensuring timely documentation.
About the role
Key responsibilities & impact- Retrieve and compile patient medical records upon request from payers, auditors, legal entities, and internal departments
- Track and prioritize requests to ensure timely fulfillment in accordance with HIPAA and organizational policies
- Coordinate with clinical and administrative staff to locate missing documentation as needed
- Provide the necessary documentation to the clinical compliance officer for review
- Adhere to all applicable federal and state laws, including HIPAA, related to privacy and release of information
- Ensure secure transmission of medical records and maintain records of all disclosures and requests
- Maintain logs of medical record requests and responses
- Generate reports on request fulfillment, turnaround times, and compliance trends
Requirements
What you’ll need- Registered Nurse
- Minimum of 2 years of experience in medical records, health information management, or a related healthcare administrative role
- Working knowledge of HIPAA Privacy Rule requirements governing the use and disclosure of protected health information
- Familiarity with medical records release laws at the state and federal level, including patient rights of access
- Strong attention to detail and ability to manage a high volume of requests with accuracy and within established deadlines
- Proficiency in electronic health record (EHR) systems and document management platforms
- Experience with Microsoft Office Suite (Word, Excel, Outlook) required
- Strong written and verbal communication skills
- Strong interpersonal skills with the ability to collaborate effectively across clinical, compliance, and administrative teams
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential, or pursuit thereof, is a plus
Benefits
Comp & perks- Flexible work arrangements
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medical Records RetrievalHealth Information ManagementDocument ManagementReport GenerationRequest Fulfillment Tracking
Soft Skills
Strong Written CommunicationStrong Verbal CommunicationInterpersonal SkillsCollaboration
Certifications
Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)