Record Compliance Analyst

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November 6

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EMS

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Pharmaceuticals • Healthcare Insurance • Wellness

EMS is the largest pharmaceutical laboratory in Brazil, recognized for its commitment to providing effective and affordable health solutions. With over 55 years in the industry, EMS operates in more than 40 countries and offers a diverse portfolio of products, including innovative treatments for chronic conditions such as obesity and diabetes. The company also emphasizes social responsibility and quality, investing in research and development to ensure high standards in the medications it produces.

1001 - 5000 employees

Founded 1964

💊 Pharmaceuticals

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Review electronic records to ensure provider-entered documentation complies with Freedom's medical record checklists • Flag documentation gaps, missing elements, or compliance concerns for QA Manager review • Provide feedback to service teams and participate in documentation correction workflows • Track and log documentation reviews using established QA systems and tools • Prepare summaries and reports of findings to be incorporated into department-wide audits • Maintain knowledge of COMAR, CARF, and other relevant documentation requirements • Manage and respond to medical records requests from clients, providers, payers, and regulatory bodies • Ensure records requests are fulfilled within HIPAA-compliant timelines and standards • Maintain secure and confidential records transfer procedures • Collaborate with QA Manager to ensure records review findings align with audit and licensing standards

🎯 Requirements

• High school diploma or equivalent required; Associate's or Bachelor's degree in health administration or related field preferred • Minimum 2 years of experience in healthcare documentation review, medical records, or compliance • Experience working in behavioral health or human services settings preferred • Ability to pass background and reference checks • Certified Professional Medical Auditor (CPMA)® certification.

🏖️ Benefits

• Ineligible