Medical Records Administration Specialist

National Institutes of Health; Maryland; On-site; USD 62,000 - 78,000; Full time

Job summary

National Institutes of Health (NIH) is seeking a Medical Records Administration Specialist at the Clinical Center to protect the integrity of electronic health records and support clinical care and research.

Responsibilities include reviewing documentation, assigning codes (ICD, CPT, HCPCS), ensuring privacy and disclosure compliance, and collaborating with staff to improve data quality and EHR workflows in a biomedical research environment.

Qualifications

• Review and analyze electronic health record documentation for accuracy, completeness, data integrity, and compliance with applicable requirements.
• Identify and resolve documentation issues, including missing, duplicate, mis-indexed, or inconsistent medical record information.

Responsibilities

• Assign and review ICD, CPT, and HCPCS codes to accurately capture diagnostic and procedural information.
• Analyze coding and documentation trends, conduct quality assurance reviews, and recommend corrective actions or training.
• Collaborate with clinical and administrative staff to improve documentation practices and support accurate, complete medical records.
• Process requests for medical information and ensure compliance with privacy, legal, and disclosure requirements.
• Support improvements to electronic health record and document-management workflows, data retrieval, and system enhancements.
• Maintain and analyze coded clinical data to support reporting, research, resource tracking, and operational decision-making.

Job description

Job Posting : Medical Records Administration Specialist

Join NIH's Clinical Center as a Medical Records Administration Specialist and help protect the integrity of the electronic health record while supporting patient care and clinical research. You'll review documentation, apply coding and privacy standards, improve data quality, and collaborate with clinical staff to strengthen health information practices in a unique biomedical research environment. Make a meaningful impact where healthcare, data, compliance, and discovery come together.

Duties

Review and analyze electronic health record documentation for accuracy, completeness, data integrity, and compliance with applicable requirements. Identify and resolve documentation issues, including missing, duplicate, mis-indexed, or inconsistent medical record information. Assign and review ICD, CPT, and HCPCS codes to accurately capture diagnostic and procedural information. Analyze coding and documentation trends, conduct quality assurance reviews, and recommend corrective actions or training. Collaborate with clinical and administrative staff to improve documentation practices and support accurate, complete medical records. Process requests for medical information and ensure compliance with privacy, legal, and disclosure requirements. Support improvements to electronic health record and document-management workflows, data retrieval, and system enhancements. Maintain and analyze coded clinical data to support reporting, research, resource tracking, and operational decision-making.

Who Can Apply

Individuals eligible under a special authority not listed above, but defined in the federal hiring regulations.

Peace Corps & AmeriCorps Vista

Individuals who have served at least 2 years with the Peace Corps or 1 year with AmeriCorps VISTA.

Family of overseas employees

Family members of a federal employee or uniformed service member who is, or was, working overseas.

Military spouses

Military spouses relocating under PCS orders, or whose spouse is 100% disabled or died while on active duty.

Land & base management

Certain current or former term or temporary federal employees of a land or base management agency.

Federal employees who meet the definition of a "surplus" or "displaced" employee.

Current or former competitive service federal employees.

Individuals with disabilities

Individuals who are eligible under Schedule A.