
Live Healthcare Documentation Specialist
14 hours ago
Transform Your Career with a Live Medical Scribe Role
About the JobWe are seeking a highly skilled and detail-oriented Live Medical Scribe to join our team. As a Live Medical Scribe, you will have the opportunity to work with new technologies and help our providers save time and money.
The ideal candidate has experience using electronic health records (EHRs) to scribe visitation notes into patients' charts while understanding the nuances between multiple providers in real-time.
Main Responsibilities- Reviews physician dictation and transcribes clinical notes into EMR/Billing systems
- Prepares and assembles medical record documentation/charts for physicians
- Ensures medical record compliance through 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 HIPAA and Joint Commission regulations
- 3-5 years of experience as a Live 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
- 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
- Skilled in operating various medical record software and hardware, word-processing, and database software programs
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