Medical Documentation Specialist

6 days ago

Kozhikode, Kerala, India beBeeDocumentation Full time ₹ 12,00,000 - ₹ 20,00,000
Job Description

We are seeking a skilled Medical Documentation Specialist to review and transcribe physician dictation into clinical notes. The ideal candidate will possess excellent administrative writing skills, be proficient in EMR/Billing systems, and have the ability to work accurately under pressure.

  • Reviews Physician dictation and transcribes to clinical notes in EMR/Billing systems
  • Prepares and assembles medical record documentation/charts for physicians
  • Ensures medical record compliance by self-documentation attestation
  • Updates patient history, physical exam, and other pertinent health information in the patient chart
  • Prepares and sends all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures
  • Monitors the duration of basic lab results and screening procedures
  • Complies with hospital and medical facility policies, including those relating to HIPAA and Joint Commission
  • Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned
  • Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes

Required skills and qualifications include:

  • 3-5 years of experience as a Medical Scribe
  • Administrative writing skills
  • Reporting skills
  • Organizational skills
  • Record-keeping
  • Microsoft Office skills
  • Professionalism, confidentiality, and organization
  • Typing
  • Solid oral and written communication skills

This is an excellent opportunity for individuals who excel in detail-oriented work and have a passion for delivering high-quality patient care. If you are looking for a challenging and rewarding role, apply today

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