
Medical Documentation Specialist
6 days ago
A Medical Scribe plays a crucial role in the healthcare industry by accurately documenting patient interactions in real-time, allowing healthcare providers to focus on patient care.
Key responsibilities include:
- Documenting patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs)
- Capturing patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions with precision
- Updating and maintaining charts, medication lists, allergies, and problem lists with accuracy
- Assisting with administrative tasks such as templating notes and handling visit summaries
- 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
The ideal candidate will possess 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, and proficiency with Google Workspace and/or Microsoft Office.
Required 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
- Proficiency with Google Workspace and/or Microsoft Office
System Requirements:
- Primary System: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher
- Computer Memory/RAM: 8.00 GB
- Computer Operating System: At least Windows 10/11 64-bit or macOS Ventura
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