
Clinical Documentation Specialist
21 hours ago
We are seeking a highly skilled Medical Scribe Manager to fill this key role. As a Medical Scribe Manager, you will be responsible for reviewing physician dictation and transcribing clinical notes into electronic medical records (EMRs). You will also be responsible for preparing and assembling medical record documentation and ensuring compliance with medical facility policies.
- 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's chart
- Prepares and sends all documentation to physicians for review and approval
- Monitors 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
- Assigns codes to diagnoses and procedures using ICD and CPT codes
- Folllows up with providers on any documentation that is insufficient or unclear
- Communicates with clinical staff regarding documentation
- Searches for information in complex coding cases
- Reviews patient charts and documents for accuracy
- 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
- Medical coding or certification program completion
- 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 medical record software and hardware
**Ideal candidate will have a strong attention to detail and excellent organizational skills. If you have experience working in healthcare and enjoy working with technology, we would love to hear from you**
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