
Clinical Documentation Specialist
7 days ago
About this role:
As a Medical Scribe Manager, you will be responsible for reviewing physician dictation and transcribing it into clinical notes in electronic medical records/billing systems.
You will also prepare and assemble medical record documentation/charts for physicians, ensure medical record compliance by self-documentation attestation, and update patient history, physical exam, and other pertinent health information in the patient’s chart.
In addition to these tasks, you will prepare and send all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures, monitor the duration of basic lab results and screening procedures, and comply with hospital and medical facility policies, including those relating to HIPAA and Joint Commission.
Responsibilities:- Review physician dictation and transcribe it into clinical notes
- Prepare and assemble medical record documentation/charts for physicians
- Ensure medical record compliance by self-documentation attestation
- Update patient history, physical exam, and other pertinent health information
- Prepare and send documentation to physicians for review and approval
- Monitor the duration of basic lab results and screening procedures
- Comply with hospital and medical facility policies
Requirements:
- 3-5 years of experience as a Live Medical Scriber
- Administrative writing skills
- Reporting skills
- Organizational skills
- Record-keeping
- Microsoft Office skills
- Professionalism
- Confidentiality
- Organization
- Solid oral and written communication skills
- Medical coding or successful completion of a certification program
- 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
- Skilled in operating various medical record software and hardware, word-processing, and database software programs
Benefits:
We offer a collaborative and supportive work environment, opportunities for professional growth and development, and a competitive compensation package.
A challenging and rewarding role with opportunities for professional growth and development, a competitive salary and benefits package, and a collaborative and supportive work environment.
About us:We value innovation and excellence, and we are committed to delivering high-quality services that meet the needs of our clients.
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