Clinical Documentation Specialist

2 weeks ago


Pushkar, Rajasthan, India beBeeMedical Full time ₹ 6,93,000 - ₹ 13,45,900
Job Role:

As a Medical Documenter, you will play a pivotal role in streamlining clinical documentation processes for healthcare providers.

  • Reviews physician dictation and transcribes to accurate clinical notes in EMR/Billing systems
  • Prepares and assembles medical record documentation/charts for physicians with precision.
  • Ensures medical record compliance by self-documentation attestation, maintaining the highest standards of data integrity.
  • Updates patient history, physical exam, and other pertinent health information in the patient's chart with utmost care.

Key Responsibilities:

  • Monitors lab results and screening procedures, ensuring timely interventions when necessary.
  • Assigns codes to diagnoses and procedures using ICD and CPT codes with attention to detail.
  • Follows up with providers on incomplete or unclear documentation, facilitating seamless communication.
  • Communicates effectively with clinical staff regarding documentation, promoting a culture of transparency.
  • Conducts thorough searches for information in complex cases, delivering actionable insights.

Requirements:

  • 3-5 years of experience as a Live Medical Scribe or equivalent position
  • Exceptional administrative writing skills, capable of producing clear and concise reports.
  • Strong reporting skills, with the ability to analyze data and present findings effectively.
  • Excellent organizational skills, with the capacity to prioritize tasks and manage multiple projects simultaneously.
  • Proficiency in record-keeping, with a keen eye for detail and a commitment to accuracy.
  • Advanced Microsoft Office skills, with expertise in software applications relevant to the role.

Preferred Qualifications:

  • Completion of a medical coding certification program or equivalent training
  • Bachelor's degree in a pre-health career track or related field
  • In-depth knowledge of anatomy, physiology, and medical terminology, with a passion for staying up-to-date on industry developments.


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