Medical Records Specialist

NYC Health + Hospitals; New York (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

NYC Health + Hospitals is seeking a skilled medical records coder to analyze, code, and index patient records in a compliant healthcare setting. You will support accurate reporting and resource utilization under NYC Health + Hospitals standards of care.

The role requires completion of an approved coding/HIT program or equivalent experience, plus relevant certifications. Strong attention to detail and ability to train others are essential.

Qualifications

• High school diploma or equivalent (approved)
• Completion of a coding or billing, medical record technology or HIT program (AHIMA/CAHIIM)
• CCS by AHIMA, CPC by AAPC or CMBS by MAB; or 2 years of coding/abstracting experience

Responsibilities

• Reviews, analyzes, abstracts, codes or indexes patients' medical records.
• Prepares and maintains records, abstracts and summaries.
• May do comparative studies for data quality.
• Completes data correction forms.
• Prepares Congenital Malformations Report, Alzheimer's Disease, and other Dementias Report forms.
• Instructs healthcare staff in the use of current coding classification.
• May supervise and train other professional staff in medical records.
• May organize, file and retrieve medical records.

Education

High school diploma or equivalent

Coding or HIT program (AHIMA/CAHIIM)

CCS/CPC/CMBS certification or 2 years coding/abstracting experience

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 partnership.

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

Purpose of Position

Under supervision, analyzes, abstracts, codes or indexes patients' medical record in a health care setting in compliance with all applicable local, state, and federal rules and regulations. Through coding and reporting, supports optimal utilization of System resources and services to improve outcomes in conformance with NYC Health + Hospitals standards of care; performs related work.

Essential Duties And Responsibilities

• Reviews, analyzes, abstracts, codes or indexes patients' medical record.
• Prepares and maintains records, abstracts and summaries.
• May do comparative studies for determining data quality.
• Completes data correction forms.
• Prepares Congenital Malformations Report, Alzheimer's Disease, and other Dementias Report forms, as required.
• Instructs health care setting staff in the use of current coding classification.
• May supervise and train other professional administrative staff of a medical record department.
• May organize, file and retrieve medical records.

Minimum Qualifications

• 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 or billing, medical record technology 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)); 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); or
• Two (2) years of satisfactory experience in coding and/or abstracting medical records in a health care setting.