Medical Records Specialist

iFive Inc.; Pasig; On-site; PHP 279,000 - 469,000; Full time

Benefits offered by this job

Competitive compensation

Professional development opportunities

Engagement activities

Job summary

A healthcare solutions company is seeking a Medical Records Specialist to ensure the accuracy and completeness of underwriting data. The role involves reviewing medical records and validating both traditional and AI-generated data outputs. Ideal candidates are detail-oriented, have a minimum typing speed of 50 WPM, and possess a strong understanding of medical concepts. Experience in healthcare operations and familiarity with the U.S. healthcare system are preferred. This position offers competitive compensation and opportunities for professional development.

Qualifications

• Detail-oriented with 95% accuracy in typing.
• Ability to interpret complex medical records.
• Experience in healthcare operations is preferred.
• Able to work in a fast-paced environment and meet quality targets.
• HIPAA and data security compliance knowledge.

Responsibilities

• Review and validate medical records for accuracy.
• Refine and validate AI-generated outputs.
• Ensure compliance with HIPAA regulations.
• Identify gaps, discrepancies, or conflicting information and escalate appropriately.
• Maintain focus and accuracy during sustained periods of detailed medical record review.
• Adapt to evolving tools, workflows, and AI-driven processes.

Skills

Typing speed of at least 50 WPM

Excellent reading speed and comprehension

Strong understanding of clinical concepts

Exceptional attention to detail

Strong time-management and communication skills

Teamwork & communication

Education

Bachelor’s degree or equivalent experience

Tools

Microsoft Office

Job description

Highlights

· Competitive compensation and benefits packages

· Continuous professional development and learning opportunities

· Regular engagement activities and events

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 escalation 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.