
Medical Documentation Specialist
1 day ago
The ideal candidate for this role will have experience working with electronic health records (EHR) systems, possessing strong typing skills and the ability to work in a fast-paced environment.
Key Responsibilities:- Review physician dictation and transcribe clinical notes into EMR/Billing systems
- Prepare and assemble medical record documentation/charts for physicians ensuring accuracy and compliance
- Update patient history, physical exam, and other pertinent health information in the patient chart
- Monitor the duration of basic lab results and screening procedures ensuring timely updates
- Comply with hospital and medical facility policies including those relating to HIPAA and Joint Commission
- 3-5 years of experience as a Live Medical Scriber
- Administrative writing skills and reporting abilities
- Strong organizational skills and record-keeping capabilities
- Microsoft Office skills and proficiency in operating medical record software
- Professionalism, confidentiality, and organization
- 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
- Opportunity to work in a dynamic healthcare environment
- Chance to develop and refine medical documentation skills
- Collaborative team environment with experienced professionals
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