
Clinical Documentation Specialist
10 hours ago
As a Medical Scribe Manager, you will play a vital role in optimizing healthcare providers' time and efficiency.
The ideal candidate has experience using Electronic Health Records (EHRs) to accurately transcribe visitation notes into patients' charts, while understanding the nuances of multiple providers' documentation styles in real-time.
Key Responsibilities:- Review physician dictations and transcribe them into clinical notes in electronic medical record systems.
- Prepare and assemble medical record documentation/charts for physicians.
- Ensure medical record compliance through self-documentation attestation.
- Update patient history, physical exams, and other pertinent health information in patients' records.
- Prepare and send all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures.
- Monitor lab results and screening procedures.
- Comply with hospital and medical facility policies, including HIPAA and Joint Commission regulations.
- Perform other administrative duties and tasks to improve provider productivity and clinic workflow as assigned.
- 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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