
Medical Documenter
6 days ago
We are seeking a Medical Documenter to work with our healthcare providers.
The ideal candidate has experience using electronic health records (EHR) systems and is skilled in operating various medical record software and hardware.
Responsibilities:
- Reviews physician dictation and transcribes clinical notes into the patient's chart.
- 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's 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.
- Assigns codes to diagnoses and procedures, using ICD and CPT codes.
Required Skills and Qualifications:
- 3-5 years of experience as a Live Medical Scriber.
- Administrative writing skills.
- Reporting skills.
- Organizational skills.
- Record-keeping.
- Microsoft Office skills.
- Professionalism, confidentiality, and organization.
- Typing.
- Solid oral and written communication skills.
Benefits and Opportunities:
- Opportunity to work with new technologies.
- Chance to improve provider productivity and clinic workflow.
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