Clinical Documentation Specialist
1 day ago
To excel as a Medical Record Specialist, you will be responsible for meticulously documenting patient medical history, symptoms, and previous diagnoses.
Physicians' findings, follow-up instructions, and prescribed treatments must also be accurately recorded. Additionally, verbal orders and medical dictations related to patient orders like laboratory tests and medications need to be transcribed with precision.
- Key Responsibilities:
- Accurately document patient medical history, symptoms, and previous diagnoses.
- Record physicians' findings, follow-up instructions, and prescribed treatments.
- Transcribe verbal orders and medical dictations related to patient orders.
- Maintain accurate EHR/EMR system records.
- Cultivate effective communication between healthcare providers, patients, and professionals.
- Ensure compliance with regulatory and institutional standards.
Qualified candidates will possess strong organizational skills, excellent English communication abilities, and a solid understanding of medical terminologies and practices.
Essential Requirements- Bachelor's degree in a relevant medical field or pharmaceutical industry.
- At least one year of experience in medical documentation, virtual assistance, or a related field.
- Exceptional English communication skills (B2 level minimum).
- Thorough knowledge of medical terminology and practices.
- Proficiency in EHR/EMR systems and ability to troubleshoot common technical issues.
- Understanding of healthcare regulations and policies.
- Excellent time management and organizational skills.
- Familiarity with current technologies and software applications.
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