Clinical Documentation Specialist

2 weeks ago


Gulbarga, Karnataka, India beBeeClinical Full time ₹ 10,00,000 - ₹ 15,00,000

Job Title: Clinical Documentation Specialist

We are seeking a highly skilled Clinical Documentation Specialist to join our team.

The ideal candidate will have experience in clinical documentation, medical coding, and EMR systems.

Responsibilities include reviewing physician dictation, transcribing to clinical notes, preparing medical record documentation, and ensuring compliance with regulatory requirements.

Key Responsibilities:
  • Reviews physician dictation and transcribes to clinical notes in EMR/Billing systems
  • 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
  • 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
Requirements:
  • 3-5 years of experience as a Live Medical Scriber or equivalent
  • Administrative writing skills
  • Reporting skills
  • Organizational skills
  • Record-keeping
  • Microsoft Office skills
  • Professionalism, confidentiality, and organization
  • Typing
  • Solid oral and written communication skills
  • Education, Experience, and Licensing Requirements:
  • 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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