Healthcare Documentation Specialist

6 hours ago

Nellore, Andhra Pradesh, India beBeeDocumentation Full time ₹ 11,00,000 - ₹ 14,50,000
Medical Scribe Manager Job Opportunity Job Description:We are seeking a Medical Scribe Manager to lead our team. As a Medical Scribe Manager, you will be responsible for overseeing medical scribes and ensuring they provide high-quality documentation services to healthcare providers.The ideal candidate will have 3-5 years of experience as a Live Medical Scriber and possess strong administrative writing skills, reporting skills, and organizational skills. They will also have a solid understanding of anatomy, physiology, and medical terminology, as well as familiarity with ICD-X codes and CPT Procedures. Responsibilities:
  • Reviews physician dictation and transcribes it to clinical notes in electronic medical record systems.
  • Prepares and assembles medical record documentation for physicians.
  • Ensures compliance by documenting and attesting to medical records.
  • Updates patient history, physical exams, and other pertinent health information in patient charts.
  • Prepares and sends all documentation to physicians for review and approval.
  • Monitors lab results and screening procedures.
  • Complies with hospital policies, including those related to HIPAA and Joint Commission.
  • Performs clerical duties to improve provider productivity and clinic workflow.
  • Assigns codes to diagnoses and procedures using ICD and CPT codes.
  • Ensures accurate coding and sequencing.
  • Follows up with physicians on incomplete or unclear documentation.
  • Communicates with clinical staff regarding documentation.
  • Searches for information when coding is complex.
  • Reviews patient charts and documents for accuracy.
Required Skills and Qualifications:
  • 3-5 years of experience as a Live Medical Scriber.
  • Administrative writing skills.
  • Reporting skills.
  • Organizational skills.
  • Record-keeping.
  • Microsoft Office skills.
  • Professionalism, confidentiality, and organization.
  • Typing.
  • Solid oral and written communication skills.
  • Medical coding or certification.
  • Bachelor's degree with pre-health career track preferred.
  • Strong knowledge of anatomy, physiology, and medical terminology.
  • Familiarity with ICD-X codes and CPT Procedures.

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