Senior Medical Records Administrator

Description & Requirements

Maximus is seeking a Senior Medical Records Administrator to join our California Independent Medical Review (CA IMR) team. In this role, you will help ensure medical documentation is accurately reviewed, organized, and maintained throughout the case review process. By supporting quality, accuracy, and efficiency, you'll play an important role in helping our team deliver timely and reliable independent medical reviews that ultimately impact patient care and outcomes. Why Maximus? 🔄 Work/Life Balance Support - Flexibility tailored to your needs! 💰 Competitive Compensation - Bonuses based on performance included! 🛡️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. 🌟 Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. 🏝️ Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage. 🌱 Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). 🏆 Recognition Platform - Acknowledge and appreciate outstanding employee contributions. 📚 Tuition Reimbursement - Invest in your ongoing education and development. 🎁 Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. 🌟 Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. 📚 Professional Development Opportunities-Participate in training programs, workshops, and conferences.

Essential Duties and Responsibilities: - Correctly identify the party from which the medical records were submitted. - Ensure correct documents are provided to the physician reviewer and submit assigned reports accurately and timely. - Examine case file to ensure all relevant information has been submitted. - Review documents to determine completeness and eligibility and report identified errors appropriately and timely. - Correctly identify non-medical records and make appropriate decision on the need for further review of these documents. - Index hundreds of pages of medical records completely, accurately, and efficiently. - Perform other duties as may be assigned by management. - Perform data entry tasks with accuracy.

- High School Diploma or Equivalent required; Associate degree preferred. - 4 to 6 years of related experience required. - Medical-related experience preferred.

- Minimum of 4 years of professional experience in medical records, document management, data processing, records indexing, quality assurance, quality control, or a related administrative operations environment. - Experience reviewing, organizing, indexing, or maintaining large volumes of records with a high degree of accuracy. - Experience working in production-based environments with established productivity and quality standards. - Proficiency using computer systems and databases, including experience with electronic record keeping systems. - Strong attention to detail and ability to identify data discrepancies or documentation errors. Preferred Requirements: - 6 or more years of relevant experience in medical records, health information management, or related records processing functions. - Experience reviewing and processing medical records, healthcare documentation, insurance records, or other regulated documentation. - Familiarity with medical terminology and healthcare documentation practices. - Experience performing quality control (QC) and/or quality assurance (QA) reviews.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information