Medical Records II

Community Medical Group•Corporate, Miami, FL, US, FL

10d•$18 - $20

About The Position

Community Medical Group is seeking a detail-oriented, organized, and dependable Medical Records II professional to join our team. In this role, you will play an important part in supporting patient care, clinical documentation, and value-based care initiatives by ensuring medical records are accurate, complete, and available when needed. A key focus of this position will be partnering with our Clinical Documentation Improvement (CDI) team to retrieve prior medical records for new patients and help close identified Hierarchical Condition Category (HCC) documentation gaps. You will also support the full medical records process, including reviewing and uploading documents into the Electronic Medical Record (EMR), coordinating internal and external record requests, and maintaining accurate and auditable documentation. If you are highly organized, enjoy detailed work, and have experience working with medical records in a healthcare environment, this is an excellent opportunity to join a mission-driven team.

Requirements

High school diploma or equivalent required
Experience requesting and retrieving medical records from hospitals, specialists, imaging centers, and other external healthcare facilities
Experience working with Electronic Medical Records (EMR) systems and document management processes
Knowledge of HIPAA regulations and medical record confidentiality requirements
Strong organizational skills with the ability to manage multiple requests and priorities effectively
Exceptional attention to detail and commitment to data accuracy
Strong written and verbal communication skills
Ability to work independently while following established workflows and procedures
Proficiency with Microsoft Office applications, email, and computer-based systems
Ability to maintain professionalism and confidentiality when handling sensitive patient information

Nice To Haves

Additional education in healthcare, medical administration, health information management, or medical coding preferred
Previous experience in medical records, clinical documentation, medical coding, or a healthcare office environment preferred
Knowledge of medical terminology and chronic conditions preferred
Familiarity with HCC documentation, clinical documentation improvement, or value-based care preferred
Bilingual in English and Spanish or English and Creole preferred

Responsibilities

Request and retrieve prior medical records from external healthcare providers for new patients with documentation gaps identified by the CDI team
Partner closely with the CDI team to obtain the documentation needed to support accurate coding, continuity of care, and value-based care initiatives
Document outreach, follow-up attempts, record status, and outcomes accurately within the Electronic Medical Record (EMR)
Prioritize medical record retrieval requests based on CDI needs, urgency, and established workflow standards
Process incoming medical records, faxes, scanned documents, and correspondence within established turnaround times
Upload documents accurately into the EMR while ensuring proper patient identification, document classification, and date of service
Review records for completeness, accuracy, duplicate status, and correct patient assignment before finalizing uploads
Coordinate and manage internal and external medical record requests from start to finish
Obtain records from hospitals, specialists, imaging centers, prior providers, and other healthcare facilities
Track and follow up on outstanding requests to ensure timely completion and resolution
Maintain detailed and auditable documentation of requests, follow-up activities, and final outcomes within the EMR
Ensure strict compliance with HIPAA regulations, patient privacy requirements, and company policies
Meet departmental productivity, accuracy, and workflow standards
Identify opportunities for process improvement and workflow optimization within the medical records function
Perform additional duties as assigned