I will medical records review and audit
Healthcare Quality and Clinical Documentation Expert
About this Gig
I will perform professional medical records audits for hospitals, clinics, and healthcare facilities to improve documentation quality and compliance with JCI/CBAHI standards. Services include open and closed file reviews, documentation deficiency analysis, compliance scoring, detail report with graphs and improvement recommendations.
FAQ
What types of medical records do you audit?
I audit inpatient, outpatient, emergency, and specialty medical records including open and closed files.
Are your audits aligned with accreditation standards?
Yes, audits can be aligned with JCI, CBAHI, and hospital documentation compliance standards.
What will I receive after the audit?
You will receive a detailed audit report including deficiencies, compliance findings, observations, and recommendations for improvement.
Do you maintain confidentiality of patient data?
Absolutely. All medical records and shared information are handled with strict confidentiality and professionalism.
Do you review both paper-based and electronic medical records?
Yes, I can review both scanned/paper records and EMR/EHR documentation.
What information do you need to start the project?
You can share anonymized medical records, your audit criteria (if any), accreditation standards, and expected deliverables.
