Careers in Medical Documentation

1 day ago


Bareilly, Uttar Pradesh, India beBeeDocumentation Full time ₹ 9,00,000 - ₹ 12,00,000
Healthcare Documentation Specialist Role

This role is pivotal to our organization, requiring a seasoned Healthcare Documentation Specialist to collaborate with healthcare providers and utilize advanced technologies to optimize their workflow.

Key Objectives of this Position:

  • Review physician dictations and accurately transcribe clinical notes into electronic medical records and billing systems.
  • Prepare and assemble comprehensive medical documentation and charts for physicians, ensuring compliance with regulatory requirements.
  • Guarantee accurate and up-to-date patient information by reviewing and updating patient history, physical exams, and other pertinent health data in the patient chart.

Responsibilities and Requirements:

  1. Transcribe complex physician dictations into clear and concise clinical notes.
  2. Prepare high-quality medical record documentation and charts for physicians.
  3. Ensure strict adherence to hospital and medical facility policies, including HIPAA and Joint Commission regulations.
  4. Assign precise diagnostic and procedural codes using ICD and CPT coding systems.
  5. Effectively communicate with clinical staff regarding documentation and medical procedures.

Essential Skills and Qualifications:

  • 3-5 years of experience as a Medical Scribe or Healthcare Documentation Specialist.
  • Advanced administrative writing skills.
  • Reporting and analytical skills.
  • Exceptional organizational and time management abilities.
  • Accurate record-keeping and attention to detail.

Our ideal candidate will possess in-depth knowledge of anatomy, physiology, and medical terminology, along with familiarity with ICD-10 codes and CPT procedures. They should also be proficient in operating various medical record software and hardware, word-processing, and database software programs.



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