Clinical Documentation Specialist

18 hours ago

Hyderabad, Telangana, India PractoPulse Healthcare Services Private Limited Full time ₹ 2,00,000 - ₹ 6,00,000 per year

Job Description

Minimum 2 years of experience in medical transcription and scribing is required.

We are looking for a Clinical Documentation Specialist. The ideal candidate will be responsible for creating accurate medical transcription documents from audio recordings, interpreting medical jargon, ensuring documentation quality, and supporting healthcare providers in maintaining precise clinical records.

If you are passionate about healthcare, skilled in transcription and scribing, and knowledgeable about medical terminology, this is the opportunity for you

Role & Responsibilities

  • Create medical transcription documents by transcribing audio recordings from healthcare providers into written form.
  • Provide real-time medical scribing support to healthcare providers as required.
  • Interpret and transcribe medical jargon and complex terms with high accuracy.
  • Verify and cross-check the accuracy of transcriptions.
  • Identify gaps in medical transcription files and correct them using research or by consulting medical professionals.
  • Ensure that documentation is complete, accurate, and reflects the patient's condition and care.
  • Assist with coding and billing by ensuring proper clinical documentation.
  • Stay updated on medical terminology, clinical procedures, and documentation standards.
  • Review and ensure all medical records are compliant with legal, ethical, and HIPAA guidelines.
  • Communicate effectively with healthcare providers to clarify unclear or incomplete documentation.
  • Participate in continuous quality improvement initiatives to enhance the overall documentation process.
  • Maintain confidentiality of sensitive patient information at all times.
  • Collaborate with physicians and healthcare teams to streamline documentation workflows.
  • Ensure timely completion and submission of all transcription and scribing tasks.

Skills

  • Medical Terminology: Strong knowledge of medical terms, anatomy, medications, and common medical procedures.
  • Proficiency in English: Excellent verbal and written communication skills.
  • Attention to Detail: Ability to identify discrepancies and ensure high accuracy in transcriptions.

    Multitasking: Capability to handle multiple transcription/scribing tasks while adhering to deadlines.
  • Medical Transcription Equipment: Familiarity with transcription tools, specialized software, and equipment.

Preferred Candidate Profile

  • Educational Qualification: Any Graduation
  • Experience: Minimum 2 years of experience in medical transcription and scribing

  • Clinical Documentation Specialist

    18 hours ago

    Hyderabad, Telangana, India Randstad Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    This will be a rotational shift job.11 AM to 8 PM, 2 PM to 11 PM, 6.30 PM to 3.30 AM.If interested, pls share CV on As a CDI Specialist, you will review clinical documentation in electronic health records to ensure accuracy, completeness, and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams...

  • Clinical documentation specialist

    1 week ago

    Hyderabad, Telangana, India Mancer Consulting Services Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    As a CDI, you will review clinical documentation in electronic health records to ensure accuracy, completeness, and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams to support documentation integrity. This includes leadership, compliance management, quality audits, and training...

  • Senior Specialist, Regulatory

    4 days ago

    Hyderabad, Telangana, India Velocity Clinical Research, Inc. Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Velocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise to bring innovative medical treatments to patients. We are...

  • Clinical Document Migrations Manager

    22 hours ago

    Hyderabad, Telangana, India Novartis Full time ₹ 8,00,000 - ₹ 24,00,000 per year

    Job Description SummaryThe Clinical Document Governance Management (CDGM) is responsible for the strategy and implementation of clinical document management (CDM) systems, processes, and standards; as well as the operations of CDM services, which include Trial Master File (TMF) management, clinical submission preparedness, record retention, TMF integrations...

  • Specialist II, Regulatory

    4 days ago

    Hyderabad, Telangana, India Velocity Clinical Research, Inc. Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    Overview:Velocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise: to bring innovative medical treatments to patients. We...

  • Trainee Junior specialist- Electronic Documentation Specialist

    1 week ago

    Hyderabad, Telangana, India Opella Full time ₹ 2,50,000 - ₹ 5,00,000 per year

    Job title: Trainee Junior specialist- Electronic Documentation SpecialistLocation: HyderabadOpella is the self-care challenger with the purest and third-largest portfolio in the Over-The-Counter (OTC) & Vitamins, Minerals & Supplements (VMS) market globally.  Our mission is to bring health in people's hands by making self-care as simple as it should be. For...

  • Specialist I, Regulatory

    4 days ago

    Hyderabad, Telangana, India Velocity Clinical Research, Inc. Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    Velocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise to bring innovative medical treatments to patients. We are...

  • Clinical Application Specialist-HYD

    2 weeks ago

    Hyderabad, Telangana, India United Imaging Healthcare Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    Who we are?Shanghai United Imaging Healthcare Co., Ltd. is dedicated to providing, developing and producing high-performance advanced medical imaging, radiotherapy equipment, life science instruments and offers intelligent digital solutions to customers worldwide. UIH is committed to creating more value for our customers and constantly improving the global...

  • Clinical/Regulatory Affairs Professional

    1 week ago

    Hyderabad, Telangana, India PlebC Innovations Private Limited Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    PlebC Innovations Pvt. Ltd. is looking for aClinical/Regulatory Affairs Specialistto join our growing team in Hyderabad.About the Role:You will be responsible for supporting clinical and regulatory operations, ensuring compliance with applicable guidelines, preparing documentation for regulatory submissions, and coordinating with authorities for approvals....

  • Clinical Authorization Specialist

    2 weeks ago

    Hyderabad, Telangana, India PractoPulse Healthcare Services Private Limited Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Role & responsibilitiesPrioritization and Prior Approval: Responsible for evaluating the patient's condition, determining the medical necessity, and submitting the necessary documentation to the insurance company for approval ensuring that the proposed treatment or service is covered by the insurance policy before it is performed.Medical Necessity...