Clinical Documentation Specialist

6 days ago

Tirupati, Andhra Pradesh, India beBeeMedicine Full time ₹ 40,00,000 - ₹ 60,00,000
Medical Scribe Opportunity

We are seeking a skilled and detail-oriented Medical Scribe to join our team.

Job Description:

A Medical Scribe is responsible for accurately transcribing physician dictation into clinical notes in EMR/Billing systems. The ideal candidate will have experience working with EHR software and understanding the nuances of multiple providers.

The Medical Scribe will be responsible for reviewing physician dictation, transcribing it into clinical notes, and ensuring medical record compliance by self-documentation attestation.

The successful candidate will also prepare and assemble medical record documentation/charts for physicians, update patient history, physical exam, and other pertinent health information in the patient chart, and ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.

Responsibilities:
  • Reviews Physician dictation and transcribes to clinical notes in EMR/Billing systems
  • Prepares and assembles medical record documentation/charts for physician(s).
  • 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.
  • 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.
  • Assigns codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
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
  • 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
Benefits:

This role offers a competitive salary and opportunities for professional growth and development. We offer a dynamic work environment with a supportive team and a commitment to excellence in healthcare.

If you are a motivated and organized individual who is passionate about delivering exceptional care, we encourage you to apply

Keywords: Medical Scribe, Clinical Documentation Specialist, Healthcare Professional

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