NYC Health + Hospitals/Carter is a state-of-the-art facility with a 5-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. 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, Carter ranks #6 in Newsweek’s Best Nursing Homes in New York 2024; and also received a high-performance rating for Short-term Rehabilitation from U.S. News & World Report’s Best Nursing Homes in America 2024.
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.
Position Overview: The Medical Records Specialist plays a critical role in maintaining the accuracy, confidentiality, and integrity of patient health records. This position is responsible for scanning and indexing medical documentation, managing record retention in compliance with regulatory standards, ensuring data integrity through EMPI maintenance, and supporting clinical documentation improvement. The specialist also processes release of information requests in accordance with HIPAA and New York State guidelines, serving as a key liaison between the health information department and internal/external stakeholders.
Responsibilities:
Document Scanning & QA: Review and process backlogged EPIC charts. Accurately scan, index, and quality-check documents using Epic Media Manager.
Record Retention: Identify records that meet retention criteria. Maintain detailed logs of patient information and prepare eligible records for secure destruction.
Data Integrity (EMPI): Merge and unmerge duplicate medical record numbers, verify patient data accuracy, and coordinate updates across systems. Manage overlay queues and respond to data correction inquiries.
Chart Analysis & Documentation: Collaborate with providers to resolve documentation discrepancies. Support DRG assignment and ensure complete, accurate records prior to discharge or coding.
Release of Information (ROI): Process requests for medical records in accordance with HIPAA and legal standards. Handle inquiries from patients, attorneys, insurers, and other stakeholders. Maintain accurate tracking in the EPIC ROI module
1. High school diploma or its educational equivalent, approved by a State’s Department of Education or a recognized accrediting organization; and
2. 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
3. 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
4. Two (2) years of satisfactory experience in coding and/or abstracting medical records in a health care setting.
PROVISIONAL POSITION
If you wish to apply for this position, please apply online by clicking the "Apply for Job" button
NYC Health and Hospitals offers a competitive benefits package that includes: