
Medical Document Specialist
7 days ago
Medical Documentation Specialist
">As a Medical Documentation Specialist, you will play a crucial role in the success of our team by providing accurate and timely medical documentation. This position is ideal for individuals who are detail-oriented, have excellent communication skills, and are passionate about delivering high-quality patient care.
">">Job Description:
">- ">
- Accurately document patient encounters directly into the Electronic Health Record (EHR) during or immediately after visits">
- Capture relevant history, objective findings, assessments, treatment plans, and outcomes in clear, structured notes">
- Use clinic templates and standards to ensure notes are billable, compliant, and ready for provider sign-off">
- Prepare and edit patient notes, visit summaries, progress reports, and letters to referring physicians">
- Maintain consistency of records across encounters and ensure timely chart updates">
- Organize and track outstanding documentation for provider review">
- Assist with documentation needed for medical necessity, insurance authorization, and claims support">
- Enter or verify coding-related details (ICD/CPT as directed) and resolve documentation gaps that impact billing">
- Coordinate with administrative staff to ensure clean claims and reduce rework">
- Perform accuracy checks for patient identifiers, visit details, and plan of care before submission">
- Adhere to HIPAA and clinic privacy/security protocols at all times">
- Meet same-day or agreed-upon turnaround times for chart completion">
- Communicate clearly with U.S.-based providers and administrative teams during working hours">
- Flag urgent issues, clarify missing information, and respond promptly to requests">
- Support end-of-day reconciliations and carry-forward tasks to keep workflows current">
- Provide exceptional customer service and maintain a positive attitude in a fast-paced environment">
- Stay up-to-date with changing regulatory requirements and clinical guidelines">
- Participate in ongoing education and training to enhance knowledge and skills">
Requirements:
">- ">
- Proven experience as a medical scribe, medical virtual assistant, or healthcare documentation specialist">
- Strong written and spoken English communication skills">
- Typing speed of at least 45 WPM with high accuracy">
- Working knowledge of basic medical terminology (healthcare/clinical context)">
- Proficiency with EHR documentation and Microsoft Office (Word, Excel, Outlook), with strict adherence to HIPAA">
- Ability to work independently in a focused, distraction-free environment">
- Reliable internet connection and quiet workspace">
- Flexibility to work 40 hours per week, Monday–Friday, 11:00 a.m.–8:00 p.m. Eastern Time">
- Willingness to commit to long-term employment and growth within the company">
Benefits:
">- ">
- Competitive hourly rate ($7 per hour)">
- Opportunity for career advancement and professional growth">
- Flexible work schedule and remote work options">
- Continuing education and training opportunities">
- A supportive and collaborative team environment">
What We Offer:
">- ">
- Professional development opportunities">
- A collaborative and dynamic work environment">
- The chance to make a real difference in patients' lives">
- Competitive compensation and benefits package">
- Opportunities for advancement and growth">
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