Associate Medical Records Spec

NYC Health + Hospitals; New York (NY); On-site; USD 65,000 - 95,000; Full time

Job summary

NYC Health + Hospitals/Carter seeks an experienced Medical Records Supervisor to oversee a section of the medical records department. The role focuses on optimal resource use, adherence to local, state, and federal rules, and improving outcomes through accurate coding and reporting.

Responsibilities include supervising staff, coordinating cross-unit work, and ensuring documentation standards while supporting research efforts and policy compliance within a large urban health system.

Qualifications

• Bachelor's degree in health information administration or health information technology program required.
• Six months of experience in coding/abstracting medical records in a health care setting OR one year with alternative qualifications.
• CCS, CPC or CMBS certifications with one year of experience may be accepted.
• Three years of satisfactory experience in coding/abstracting medical records in a health care setting.

Responsibilities

• Supervises medical record specialists and other professional administrative staff.
• Plans, assigns and reviews the work of medical records personnel.
• Coordinates the work of the section of the medical record department with other units of the department and/or health care setting.
• Provides technical advice on record systems and current nomenclature.
• Coordinates instruction of physicians, nurses and other health care personnel in chart documentation requirements.
• May code clinical records and analyze for completeness and accuracy.
• Prepares periodic reports, statistical abstracts and summaries.
• Assists in records selection for medical research and responds to inquiries as per policy.

Education

Bachelor's degree in health information administration or health information technology program

Job description

Marketing Statement

NYC Health + Hospitals/Carter is a state-of-the-art facility with a 4-Star CMS Quality Rating, equipped with 164-bed Skilled Nursing Facility and 201-bed Long-Term Acute Care Hospital (LTACH) based in Harlem. Carter excels at providing quality medical, sub-acute, rehabilitative, and long-term specialty services for individuals in need of medically-complex care like ventilator weaning and onsite-dialysis. Every employee takes a person-centered approach that exemplifies our ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnership.

Marketing Statement

NYC Health + Hospitals/Carter is a state-of-the-art facility with a 4-Star CMS Quality Rating, equipped with 164-bed Skilled Nursing Facility and 201-bed Long-Term Acute Care Hospital (LTACH) based in Harlem. Carter excels at providing quality medical, sub-acute, rehabilitative, and long-term specialty services for individuals in need of medically-complex care like ventilator weaning and onsite-dialysis. Every employee takes a person-centered approach that exemplifies our ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

From more than 600 Nursing Homes in New York, Carter ranks #4 in Newsweek’s Best Nursing Homes in New York2026; and also received a high-performance rating for Long-Term Care and Short-term Rehabilitation from U.S. News & World Report’s Best Nursing Homes in America 2026. In 2025, Carter was awarded the American Nurses Credentialing Center’s Pathway to Excellence with Distinction Award, the nation’s first long-term facility to receive it.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Duties & Responsibilities

Under general supervision, is in charge of a section of the medical record department in a health care setting. Ensures optimal utilization of resources and services and compliance with all applicable local, state, and federal rules and regulations and NYC Health + Hospitals standards of care to improve outcomes through coding and reporting; performs related work.

Purpose of Position

Under general supervision, is in charge of a section of the medical record department in a health care setting. Ensures optimal utilization of resources and services and compliance with all applicable local, state, and federal rules and regulations and NYC Health + Hospitals standards of care to improve outcomes through coding and reporting; performs related work.

Essential Duties And Responsibilities

• Supervises medical record specialists and other professional administrative staff.
• Plans, assigns and reviews the work of medical records personnel.
• Coordinates the work of the section of the medical record department with other units of the department and/or health care setting.
• Provides technical advice on record systems and the use of current nomenclature and established indices.
• Coordinates the instruction of physicians, nurses and other health care personnel in chart documentation requirements.
• May code clinical records according to current classification of diseases and operations; may analyze clinical records for completeness and accuracy.
• Prepares periodic reports, statistical abstracts and other records and summaries.
• Coordinates comparative studies by health care setting and services within health care settings and by diseases and operations.
• Assists the medical staff in selecting and collating records for medical research. Answers inquiries for information in medical record, in accordance with established policy and legal requirements.
• May perform comparative studies for data quality.
• Analyzes reports to improve medical record data quality and reliability.
• Assists in the performance of functions relating to the filing, retrieval, monitoring, securing and photocopying of medical records identified in litigation proceedings, in accordance with established policies and procedures.

Minimum Qualifications

• Bachelor's degree from an accredited college or university in a health information administration (HIA) or health information technology (HIT) program approved by a nationally accredited agency (e.g., the American Health Information Management Association (AHIMA) or the Commission on Accreditation for Health Informatics and Information Education (CAHIIM)); and six (6) months of experience in coding and/or abstracting medical records in a health care setting; or
• High school diploma or its educational equivalent, approved by a State’s Department of Education or a recognized accrediting organization; and
• Completion of a coding, medical record technology or health information technology (HIT) program approved by a nationally accredited agency (e.g., AHIMA or CAHIIM); and one (1) year of experience in coding and/or abstracting medical records in a health care setting; or
• Certified Coding Specialist (CCS) by AHIMA, Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Certified Medical Billing Specialist (CMBS) by the Medical Association of Billers (MAB); and one (1) year of experience in coding and/or abstracting medical records in a health care setting; or
• Three (3) years of satisfactory experience in coding and/or abstracting medical records in a health care setting.