Clinical Documentation Specialist

6 days ago


Kottayam, Kerala, India beBeeMedical Full time ₹ 9,00,000 - ₹ 12,00,000
Medical Scribe Position

We are seeking a skilled Medical Scribe to enhance our medical documentation processes.

The ideal candidate will have experience utilizing electronic health records (EHR) systems and possess strong administrative writing skills. The role involves reviewing physician dictation and transcribing it into clinical notes in EMR/Billing systems, as well as preparing and assembling medical record documentation/charts for physicians. Ensuring medical record compliance by self-documentation attestation is also an essential aspect of this position. The successful candidate will be responsible for updating patient history, physical exam, and other pertinent health information in the patient's chart, preparing and sending all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures. Additionally, they will monitor the duration of basic lab results and screening procedures, comply with hospital and medical facility policies, including those relating to HIPAA and Joint Commission, and perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned. Strong knowledge of anatomy, physiology, and medical terminology is required, as well as familiarity with ICD-X codes and CPT Procedures. Skilled in operating various medical record software and hardware, word-processing, and database software programs. Must be able to communicate effectively with healthcare professionals and maintain confidentiality. This role requires 3-5 years of experience as a Live Medical Scriber, administrative writing skills, reporting skills, organizational skills, record-keeping, Microsoft Office skills, professionalism, confidentiality, 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, and strong knowledge of anatomy, physiology and medical terminology. Interested candidates should apply.



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