About the role

  • Clinical Analyst managing electronic health record processes and supporting patient order workflows in healthcare. Ensuring data accuracy and compliance while assisting with referrals and clinical documentation.

Responsibilities

  • Assisting with the closure of clinical orders and ensuring appropriate documentation is complete
  • Monitoring referral workflows and generating referral status and outcome reports.
  • Support audits, regulatory reviews, and compliance requirements related to medical records and referrals.
  • Supporting data accuracy, reporting, and quality improvement initiatives.
  • Monitor, manage, and assist with the closure of clinical orders to ensure timely completion and proper documentation within the electronic health record (EHR).
  • Scan, index, and accurately attach referral, diagnostic, and consult results to corresponding patient orders in the EHR.
  • Generate, review, and maintain referral and order status reports to identify outstanding, incomplete, or overdue items.
  • Conduct patient follow-ups related to referrals, test results, and care coordination needs, escalating concerns to clinical staff or providers as appropriate.
  • Communicate with providers, clinical teams, and external offices to obtain missing results or clarify referral outcomes.
  • Ensure data accuracy, completeness, and compliance with organizational, regulatory, and program-specific standards.
  • Support quality improvement initiatives by identifying workflow gaps and recommending process enhancements related to referrals and order management.
  • Maintain confidentiality and always comply with HIPAA and organizational privacy policies.

Requirements

  • Associate or bachelor’s degree in health information management, Healthcare Administration, or related field.
  • Health Benefit Advisor (HBA) and Registered Health Information Technician Certification (RHIT) preferred but not required
  • A minimum of 2 years of relevant healthcare experience.
  • Experience working with EHR systems and medical records management
  • Knowledge of referral workflows, prior authorizations, and healthcare regulations
  • Strong written and verbal communication skills, excellent computer skills (Microsoft Word, Excel, and Outlook).
  • Bilingual preferred.
  • Strong analytical, organizational, and problem-solving skills
  • Excellent communication and attention to detail
  • Ability to manage multiple priorities in a fast-paced clinical environment.

Job title

Clinical Documentation Specialist

Job type

Experience level

JuniorMid level

Salary

$23 - $25 per hour

Degree requirement

Associate's Degree

Location requirements

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