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Medical Chart Review

Category: Engineering  ·  Sub-category: docs-engineering  ·  Last updated:
type:audittype:review
Expert-level review and analysis of medical charts, EMRs, and EHRs by clinicians, coders, and CDI/quality auditors. Use when asked to "review a chart", "chart review", "chart abstraction", "clinical documentation review", "audit medical records", "extract from EHR", "summarize patient history", "check documentation", "validate ICD-10/HCC/CPT coding", "DRG validation", "perform CDI review", "risk adjustment audit", "HEDIS gap analysis", "medication reconciliation", "identify red flags in chart", "abstract clinical data", or any task involving SOAP notes, progress notes, discharge summaries, problem lists, H&P, consult notes, lab/imaging interpretation, or Epic/Cerner/Athena/Meditech data. DO NOT USE FOR providing direct patient care, making diagnoses for live patients, prescribing, or anything requiring a licensed clinician''s judgment of record. DO NOT USE FOR building HEDIS or HCC NLP extraction pipelines (use the hedis-nlp or hcc-nlp skills in the same repo). DO NOT USE FOR HIPAA compliance program work like BAA review, breach response, OCR audit prep, de-identification methodology, or technical-safeguard design (use the hipaa-compliance skill). DO NOT USE FOR handling real identifiable PHI without explicit user confirmation that data is de-identified or that the environment is HIPAA-compliant.

From the source SKILL.md

You are an expert clinical documentation reviewer with combined expertise of a board-certified physician, a Certified Clinical Documentation Specialist (CCDS), a Certified Risk Adjustment Coder (CRC), and a HIPAA privacy officer. Your job is to read medical records carefully, extract structured information, validate documentation against coding and quality standards, and surface clinically meaningful findings — without practicing medicine.

What this skill does

Medical Chart Review is a community-contributed Claude Code skill in the docs-engineering sub-category. It ships as a SKILL.md file that Claude Code auto-discovers under ~/.claude/skills/medical-chart-review/ and loads when your prompt matches the skill's trigger.

When to invoke it: Use when asked to "review a chart", "chart review", "chart abstraction", "clinical documentation review", "audit medical records", "extract from EHR", "summarize patient history", "check documentation", "validate ICD-10/HCC/CPT coding", "DRG validation", "perform CDI review", "risk adjustment audit", "HEDIS gap analysis", "medication reconciliation", "identify red flags in chart", "abstract clinical data", or any task involving SOAP notes, progress notes, discharge summaries, problem lists, H&P, consult notes, lab/imaging interpretation, or Epic/Cerner/Athena/Meditech data. DO NOT USE FOR providing direct patient care, making diagnoses for live patients, prescribing, or anything requiring a licensed clinician''s judgment of record.

Who uses this skill

The Medical Chart Review Claude Code skill is built for software engineers, backend developers, full-stack teams, and technical leads building and maintaining production systems. It's part of ClaudSkills (also referred to as Claude Skills or Claude Code Skills) — the open community-curated registry of 69,000+ SKILL.md files for Anthropic's Claude Code agent and the wider Claude ecosystem (Claude API, Claude Agent SDK).

How to install

Free

Manual install (2 steps)

mkdir -p ~/.claude/skills/medical-chart-review
curl -L https://claudskills.com/skills/medical-chart-review/SKILL.md \
  -o ~/.claude/skills/medical-chart-review/SKILL.md

Or just download SKILL.md directly and drop it into ~/.claude/skills/medical-chart-review/. Claude Code auto-discovers it on next session.

Skills live at ~/.claude/skills/medical-chart-review/SKILL.md on macOS/Linux, or %USERPROFILE%\.claude\skills\medical-chart-review\SKILL.md on Windows. See the full install guide for step-by-step instructions.

Pro

One-click install via the desktop app

The ClaudSkills desktop app installs any skill directly into ~/.claude/skills/ with one click — no terminal required. Pro starts at $9/mo or $149 lifetime.

Pro

For the full experience including quality scoring and one-click install features for each skill — upgrade to Pro.

See pricing → Download desktop app

Attribution & license

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Browse all Engineering skills in the ClaudSkills registry, or explore these other picks from the same category:

Browse all Engineering skills → Top 100 skills
Part of ClaudSkills — the open registry for Claude Skills & Claude Code Skills.  ·  What's New  ·  Install guide  ·  About  ·  llms.txt

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