Healthcare Documentation Specialist

3 days ago

Bikaner, Rajasthan, India beBeeDocumentation Full time US$ 55,000 - US$ 65,000
Healthcare Documentation Specialist

The ideal candidate will have excellent organizational skills and the ability to work accurately in a fast-paced environment.

Job Responsibilities:
  • Review physician dictation and transcribe clinical notes into electronic medical records (EMRs).
  • Prepare and assemble medical record documentation for physicians.
  • Ensure medical records are compliant with regulations by self-documenting attestation.
  • Update patient information, including history, physical exam, and health data in EMRs.
  • Send documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures.
  • Monitor lab results and screening procedures duration.
  • Comply with hospital policies, including HIPAA and Joint Commission regulations.
  • Perform clerical tasks to improve provider productivity and clinic workflow as assigned.
  • Assign ICD-10 and CPT codes to diagnoses and procedures.
  • Verify code accuracy and sequencing according to government and insurance regulations.
  • Follow up with providers on unclear or insufficient documentation.
  • Communicate with clinical staff regarding documentation.
  • Research complex or unusual coding situations.
  • Review patient charts and documents for accuracy.
Requirements:
  • 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.
  • Strong oral and written communication skills.
  • Medical coding certification or completion of a certification program.
  • Bachelor's degree in a pre-health career track preferred.
  • Familiarity with anatomy, physiology, and medical terminology.
  • Knowledge of ICD-10 codes and CPT procedures.
  • Skilled in operating various medical software and hardware programs.

This role requires strong organizational and communication skills. If you're detail-oriented and motivated, we encourage you to apply.

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