Medical Records & Health Data Integrity 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

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.