Medical Scribe

2 days ago

Mumbai Maharashtra, India UJustCreate Services Pvt Ltd Full time

At UJustCreate, we believe in, and strive for, holistic development of the self. This means we create and provide the appropriate environment for our staff to excel in their work profiles while ensuring their all-round personal development. We empower our staff to contribute to the best of their ability and make a positive difference in any endeavour assigned to them.
- **Medical Scribe** **/ Coder - Job Description**

Medical Scribe / Coder Job 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
- Prepares and sends all documentation to physician 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.
- Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Follow up with the provider on any documentation that is insufficient or unclear
- Communicate with other clinical staff regarding documentation
- Search for information in cases where the coding is complex or unusual
- Receive and review patient charts and documents for accuracy
- Review the previous day's batch of patient notes for evaluation and coding
- Ensure that all codes are current and active

Medical Scribe/Coder Qualifications / Skills:

- Administrative writing skills
- Reporting skills
- Organizational skills
- Record-keeping
- Microsoft Office skills
- Professionalism, confidentiality, and organization
- Typing
- Solid oral and written communication skills

Education, Experience, and Licensing Requirements:

- High school diploma, GED, or Associate's Degree in 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-9 codes and CPT Procedures
- Skilled in operating various medical record software and hardware, word-processing, and database software programs

**Additional Details**:
, Permanent

**Benefits**:

- Work from home

Schedule:

- US shift ( 5:30 pm - 2:30 am IST (approx., may vary depending on client work timings))

**Experience**:

- Minimum of 2 years of medical scribing experience

**Language**:

- English (required)

**Location**:

- Mumbai, Maharashtra (required)

Shift availability:

- Night Shift (required)

Expected Start Date: Immediate

**Job Types**: Full-time, Permanent

Pay: ₹25,000.00 - ₹55,000.00 per month

**Benefits**:

- Work from home

Application Question(s):

- Are you located in Mumbai ?
- Do you have experience in Medical Scribing in US Healthcare ?

Work Location: Remote

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