
Clinical Documentation Professional
11 hours ago
A healthcare documentation specialist plays a crucial role in the clinical documentation process, ensuring accurate and detailed patient records. This enables medical professionals to focus on patient care while handling the documentation side of the encounter.
Key Responsibilities:- Documentation: Accurately capture patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions using Electronic Medical Records (EMRs).
- Chart Maintenance: Update and maintain charts, medication lists, allergies, and problem lists.
- Administrative Tasks: Assist with tasks such as templating notes and handling visit summaries.
- Communication: Maintain communication with providers for clarification and accuracy of documentation.
- Communication Skills: Excellent verbal and written English communication skills.
- Clinical Experience: At least 1–2 years of experience as a medical scribe or in a clinical documentation role.
- MEDICAL KNOWLEDGE: Familiarity with medical terminologies and clinical workflows.
- Educational Background: A healthcare-related degree is highly preferred.
- Computer Processor: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher.
- Memory/RAM: 8.00 GB.
- Operating System: At least Windows 10/11 64-bit or macOS Ventura.
- Headset: Any USB-type headset with noise-cancelling feature.
- Camera: Capable of a clear and crisp video output.
This is a remote position that offers the opportunity to work from home and enjoy a comfortable salary. The starting rate is $800 USD monthly, and employment type is independent contractor. Benefits include free training, paid time off, HMO coverage, optical rewards, performance-based increase, and permanent work-from-home arrangement.
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