Medical Documentation Specialist

2 days ago

Davangere, Karnataka, India beBeeDocumentation Full time ₹ 8,00,000 - ₹ 12,00,000

We are seeking a highly skilled medical professional to manage medical records and documentation.

The ideal candidate will have experience in medical record-keeping, transcription, and coding. They will be responsible for reviewing physician dictation, transcribing clinical notes into electronic health records (EHRs) and preparing medical record documentation.

Key Responsibilities:
  • Reviews Physician dictation and transcribes to clinical notes in EHRs
  • 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

Additionally, the Medical Scribe Manager will:

  • Monitor the duration of basic lab results and screening procedures
  • Comply with hospital and medical facility policies, including those relating to HIPAA and Joint Commission
  • Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned

Technical skills required include proficiency in operating various medical record software and hardware, word-processing, and database software programs.

Requirements:
  • 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
Preferred Qualifications:
  • Medical coding or successful completion of a certification program
  • Bachelor's degree with pre-health career track preferred
  • Strong knowledge of anatomy, physiology, and medical terminology
  • Familiarity with ICD-X codes and CPT Procedures

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