
Medical Documentation Specialist
1 day ago
We are seeking a Medical Documentation Specialist to join our team. In this role, you will review physician dictation and transcribe it into clinical notes in EMR/Billing systems.
Main Responsibilities- Transcribe physician dictation into clinical notes in EMR/Billing systems
- 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 in the patient
- Prepare and send all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures
- 3-5 years of experience as a Live Medical Scribe
- Strong administrative writing skills
- Excellent reporting skills
- Organizational skills
- Record-keeping skills
- Proficiency in Microsoft Office
- Professionalism, confidentiality, and organization
- Typing skills
- 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
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