The Medical Records Specialist is responsible for maintaining the integrity, confidentiality, and accuracy of patient health records in compliance with HIPAA regulations, company policies, and relevant state and federal laws. The Medical Records Specialist ensures prompt responses to medical records requests in accordance with state and federal laws. This role also assists with external payor audits and reviews by managing and responding to medical records requests from payors and regulatory agencies.

• Process patient medical record requests in accordance with HIPAA and internal guidelines, ensuring compliance.
• Respond to inquiries from patients, providers, legal representatives, and third parties regarding medical records.
• Collaborate with various internal departments (such as Legal, Medical Coding, and Revenue Cycle Management) to research and address medical record inquiries.
• Coordinate and fulfill medical record requests related to external payor audits, including those from commercial payors, Medicare, Medicaid, or Recovery Audit contractors.
• Work with Revenue Cycle Management, Compliance, Clinical Operations, and Legal to ensure timely, accurate, and complete audit responses.
• Track and document audit-related activities to support internal reporting and adherence to response timelines.
• Maintain or develop new record retention policies and procedures, as needed, to document retention requirements in accordance with state, federal, or internal guidelines.
• Other responsibilities as requested.
• Assist the External Payor Auditor Manager by collecting and reviewing medical records to ensure completeness and compliance with external payor audit criteria.

Education/Experience:

• Bachelor's degree (B.A.) from a four-year college or university; or equivalent combination of education and experience
• 2+ years in medical records or health information management
• Prior Healthcare Experience

Knowledge/Skills:

• Knowledge of HIPAA and medical terminology
• Professional handling of sensitive information
• Strong communication skills and attention to detail
• Analytical and organizational proficiency

Software:

• Proficient with Microsoft Office and Adobe Acrobat

Benefits for Full Time employees and qualified dependents:

• Medical, Prescription, Dental, Vision Insurance
• Progyny Fertility Benefits
• Livongo Diabetes Management
• Teladoc Health and Second Opinion Services
• Smart Shopper
• 401(K) Thrift Program & Sharing Plan**
• Employee Stock Purchase Plan (ESPP) â“ 15% discount*
• Basic Employee; Spouse; Child Life Insurance
• Accidental Death and Dismemberment (AD&D)
• Employee Optional Life and AD&D
• Short- & Long-Term Disability
• Pre-Tax Health Savings Accounts (HSA)
• Employee and Dependent Flexible Spending Account (FSA)
• Family Medical Leave Act (FMLA)**
• Parental Leave Benefit
• Sick Pay Bank
• Employee Assistance Program (EAP)**
• Group Aflac Policies
• Identity Theft Protection
• Employee Charitable Fund
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• Various Discount Programs

*Part Time Regular employee classifications also receive this benefit

**Available to Part-Time regular and part-time casual employees aged 21 and over

Pediatrix Medical Group is one of the nationâ™s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The groupâ™s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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About Pediatrix Medical Group

Pediatrix® Medical Group, Inc. (NYSE:MD) is a leading provider of physician services. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. Specialties include obstetrics, maternal-fetal medicine and neonatology. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. The physician-led company was founded in 1979 as a single neonatology practice and today provides its highly specialized and often critical care services through approximately 4,400 affiliated physicians and other clinicians. We partner with hospitals, health systems and health care facilities to achieve better patient outcomes while reducing costs. Together with our partners, we: Develop intuitive, customized solutions that optimize clinical, financial and operational performance; Improve patient care and the total patient experience; Leverage advanced clinical tools, quality initiatives, research, robust data, technology and training to enhance care quality and performance.

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