Document Review Specialist

Southeast Georgia Health System; Brunswick (GA); On-site; USD 52,000 - 65,000; Full time

Job summary

Southeast Georgia Health System Inc / SGHS is seeking a detail-oriented Document Review Specialist to join our Medical Records and Support Department. The role supports audits, payor communications, continuation of care, and legal requests to ensure accuracy, integrity, and regulatory compliance of medical records across the health system.

Ideal candidates have strong organizational skills and the ability to manage multiple responsibilities in a fast-paced healthcare environment.

Qualifications

• Two years of Healthcare Administration experience.

Responsibilities

• Conduct and coordinate comprehensive medical record audits to ensure regulatory compliance, prepare detailed reports for leadership meetings.
• Support payor communications ensuring timely documentation for claims processing and inquiries.
• Facilitate continuation of care by ensuring records are complete and shared across care teams and facilities.
• Oversee and manage legal requests related to medical records including subpoenas and patient rights.
• Assist with amendment requests and ensure proper tracking of Deceased Patient Data forms and data exchanges.

Job description

We are seeking a dedicated and detail-oriented Document Review Specialist to join our Medical Records and Support Department. This pivotal role is responsible for supporting key functions across the department, ensuring the accuracy, integrity, and compliance of medical records throughout the health system. You will be instrumental in facilitating medical record audits, managing communication with payors, overseeing the continuation of care process, and addressing legal requests in accordance with regulatory and organizational standards.

Key Responsibilities

• Medical Record Audits: Conduct and coordinate comprehensive audits of medical records to ensure compliance with regulatory requirements, The Joint Commission standards, and internal policies. Prepare detailed reports for Medical Staff, Nursing Leadership, and Medical Record Committee meetings.
• Payor Communication: Support communication efforts with payors by ensuring timely and accurate documentation for claims processing, inquiries, and follow-up. Assist in resolving discrepancies and ensuring appropriate documentation for reimbursement.
• Continuation of Care: Facilitate the continuation of care process by ensuring that patient records are complete, accurate, and shared in a timely manner across care teams and between facilities to promote seamless transitions of care.
• Legal Requests: Oversee and manage the process for legal requests related to medical records, including those related to subpoenas, patient rights, and compliance with legal and regulatory standards. Ensure all requests are processed efficiently and accurately.
• Additional Duties: Assist with amendment requests, wrongful disclosures, and ensure the accurate tracking and documentation of Deceased Patient Data forms. Support investigations into documentation omissions and ensure proper follow-up. Collaborate with other departments to maintain effective communication and data exchange.

This position is integral to maintaining the flow of accurate and compliant medical records across the organization. You will support the department manager in ensuring that all medical record processes align with legal, regulatory, and operational standards, playing a key role in the overall efficiency of the health system.

Ideal candidates will have strong organizational skills, an eye for detail, and the ability to manage multiple responsibilities simultaneously in a fast-paced healthcare environment. If you are a proactive problem-solver with a commitment to high standards in medical record management, we encourage you to apply.

Required Behaviors

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work

Experience

• Two years of Healthcare Administration experience

Equal Opportunity Employer
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