
Clinical Documentation Specialist
22 hours ago
This role is responsible for documenting clinical interactions in real time, ensuring accurate and detailed patient records. The ideal candidate will have excellent communication skills, be detail-oriented, and possess a strong understanding of medical terminologies.
The primary responsibility of a medical scribe is to accurately capture patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions. They will also update and maintain charts, medication lists, allergies, and problem lists.
Additional responsibilities include:
- Documenting real-time patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs)
- Reviewing prior records to provide context for current visits
- Maintaining communication with providers for clarification and accuracy of documentation
- Ensuring all documentation is HIPAA-compliant and meets clinical and legal standards
Requirements:
Key Skills:- Excellent verbal and written English communication skills
- At least 1-2 years of experience as a medical scribe or in a clinical documentation role
- Familiarity with medical terminologies and clinical workflows
- A healthcare-related degree is highly preferred
Benefits:
- Starting rate: $800 monthly
- Employment type: Independent Contractor
- Paid Time Offs
- HMO Coverage
- Optical Rewards
- Performance-Based Increase
As a remote medical scribe, you will enjoy the flexibility of working from anywhere, at any time. This role requires minimal supervision, allowing you to work independently and manage your own schedule.
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