Virtual Assistant

Virtual Medical Document Reviewer

Looking to hire your next Virtual Medical Document Reviewer? Here’s a full job description template to use as a guide.

About Vintti

Vintti is a dynamic staffing agency bridging the gap between Latin American talent and US-based businesses. We specialize in connecting skilled professionals from Latin America with small and medium-sized businesses, startups, and firms across the United States. Our mission is to provide top-tier staffing solutions that enable US companies to access a diverse pool of talented individuals while offering exciting career opportunities to Latin American professionals. By leveraging our extensive network and deep understanding of both markets, Vintti facilitates mutually beneficial partnerships that drive growth and innovation for our clients and candidates alike.

Description

A Virtual Medical Document Reviewer is a specialized professional who meticulously evaluates and analyzes medical records and documents to ensure accuracy and compliance with relevant standards and regulations. This role involves reviewing patient histories, diagnostic reports, and treatment plans, identifying any discrepancies or inconsistencies, and providing essential feedback to healthcare providers. By leveraging their in-depth medical knowledge and attention to detail, Virtual Medical Document Reviewers play a critical role in maintaining the integrity of medical documentation, ultimately supporting the delivery of high-quality healthcare services.

Requirements

- Bachelor's degree in Health Information Management, Nursing, or a related field
- Certification in medical coding (such as CPC, CCS, or equivalent) is preferred
- Minimum of 2 years of experience in medical records review or a related healthcare role
- Proficiency with electronic health record (EHR) systems
- Strong knowledge of medical terminology, anatomy, and physiology
- Familiarity with healthcare regulatory and compliance standards (e.g., HIPAA)
- Excellent attention to detail and analytical skills
- Strong communication skills, both written and verbal
- Ability to manage and prioritize multiple tasks effectively
- Proficiency with medical coding and documentation guidelines (e.g., ICD-10, CPT)
- Experience with specialized medical review software and tools
- Ability to work independently with minimal supervision
- Commitment to maintaining patient confidentiality and data security
- Strong problem-solving skills and the ability to identify and resolve discrepancies
- Willingness to participate in ongoing training and professional development

Responsabilities

- Review and analyze patient medical records for accuracy and completeness
- Ensure compliance of medical records with regulatory and compliance standards
- Verify inclusion of all necessary documentation in patient records
- Communicate with healthcare providers to clarify discrepancies or obtain missing information
- Identify and flag inconsistencies or potential errors in medical documentation
- Maintain up-to-date knowledge of medical coding and documentation guidelines
- Enter and update patient information in electronic health record (EHR) systems
- Prepare summary reports on documentation reviews and findings
- Collaborate with quality assurance teams to improve documentation processes
- Participate in training sessions and professional development opportunities
- Manage and prioritize multiple review tasks to meet deadlines
- Provide feedback and recommendations to healthcare providers on documentation quality
- Use specialized software and tools for document review
- Maintain confidentiality and security of patient information
- Conduct follow-up reviews to ensure implementation of corrective actions

Ideal Candidate

The ideal candidate for the role of Virtual Medical Document Reviewer is a highly meticulous and analytically minded professional with at least a Bachelor's degree in Health Information Management, Nursing, or a related field, complemented by a certification in medical coding such as CPC or CCS. With a minimum of two years of hands-on experience in medical records review or a similar healthcare role, this individual boasts a strong proficiency with electronic health record (EHR) systems and possesses an in-depth knowledge of medical terminology, anatomy, and physiology. They are well-versed in healthcare regulatory and compliance standards, including HIPAA, and exhibit exceptional attention to detail, consistently identifying and resolving discrepancies in medical documentation. Possessing excellent communication skills, both written and verbal, they can effectively interact with healthcare providers to clarify inconsistencies and ensure the completeness and accuracy of patient records. This candidate is highly organized, capable of managing multiple tasks and priorities efficiently, and is adept at using specialized medical review software and tools. They demonstrate a strong commitment to maintaining patient confidentiality and data security and have a proactive and solution-oriented approach. With a collaborative, team-oriented mindset, adaptability to evolving guidelines and technologies, and a dedication to continuous learning and professional development, they stand out for their high level of integrity, ethical standards, and a customer-focused, service-oriented attitude.

On a typical day, you will...

- Review and analyze patient medical records and documents for accuracy and completeness
- Ensure that medical records comply with regulatory and compliance standards
- Verify that all necessary documentation is included in patient records
- Communicate with healthcare providers to clarify any discrepancies or obtain missing information
- Identify and flag any inconsistencies or potential errors in medical documentation
- Maintain up-to-date knowledge of medical coding and documentation guidelines
- Enter and update patient information into electronic health record (EHR) systems
- Prepare summary reports on documentation reviews and findings
- Collaborate with quality assurance teams to improve documentation processes
- Participate in regular training sessions and professional development opportunities
- Manage and prioritize multiple review tasks to meet deadlines
- Provide feedback and recommendations to healthcare providers on improving documentation quality
- Use specialized software and tools to facilitate the review process
- Maintain the confidentiality and security of patient information at all times
- Conduct follow-up reviews to ensure corrective actions have been implemented

What we are looking for

- Meticulous attention to detail
- Strong analytical mindset
- Excellent communication skills
- Proactive and solution-oriented
- Highly organized and efficient
- Ability to work independently
- Strong commitment to data security and confidentiality
- Collaborative and team-oriented mindset
- Adaptable to evolving guidelines and technologies
- Dedicated to continuous learning and professional growth
- Strong problem-solving abilities
- Ability to manage multiple priorities effectively
- High level of integrity and ethical standards
- Strong knowledge retention and application skills
- Customer-focused with a service-oriented attitude

What you can expect (benefits)

- Competitive salary range based on experience
- Comprehensive health insurance plans (medical, dental, vision)
- Retirement savings plan with employer matching
- Paid time off (PTO) and holidays
- Flexible work schedule with options to work remotely
- Opportunities for career advancement and promotions
- Access to ongoing training and professional development courses
- Tuition reimbursement for relevant educational pursuits
- Performance bonuses and incentives
- Employee wellness programs and initiatives
- Paid parental leave
- Disability and life insurance coverage
- Employee assistance program (EAP) for personal and professional support
- Technology stipend for home office setup
- Regular virtual team-building activities and events

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