Job Posting: Medical Records Administration Specialist

Summary

Join NIH's Clinical Center as a Medical Records Administration Specialist and help protect the integrity of the electronic health record while supporting patient care and clinical research. You'll review documentation, apply coding and privacy standards, improve data quality, and collaborate with clinical staff to strengthen health information practices in a unique biomedical research environment. Make a meaningful impact where healthcare, data, compliance, and discovery come together.

Duties

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. 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.

Who Can Apply