
Chief Clinical Documentation Specialist
1 week ago
We are seeking a highly skilled and detail-oriented Medical Scribe Manager to lead our medical records team.
Key Responsibilities:
- Review physician dictation into clinical notes in EMRs and 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's chart
- Prepare and send documentation to physicians for review and approval
- Monitor lab results and screening procedures
- Comply with hospital and medical facility policies, including HIPAA and Joint Commission regulations
- Perform other clerical duties and tasks to improve provider productivity and clinic workflow
Requirements:
- 3-5 years of experience as a live medical scribe or transcriptionist
- Administrative writing skills
- Reporting skills
- Organizational skills
- Record-keeping
- Microsoft Office skills
- Professionalism, confidentiality, and 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
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