
Medical Health Documenter
7 days ago
Job Overview
We are looking for a Medical Health Documenter to join our team. The ideal candidate will have experience in healthcare documentation and be able to accurately document patient encounters directly into the electronic health record (EHR).
Main Responsibilities
- Document patient encounters during or immediately after visits, ensuring accurate and comprehensive records.
- Capture relevant history, objective findings, assessments, treatment plans, and outcomes in clear, structured notes.
- Utilize clinic templates and standards to ensure documents are billable, compliant, and ready for provider sign-off.
Data Quality, Timeliness & Compliance
- Perform accuracy checks for patient identifiers, visit details, and plan of care before submission.
- Adhere to HIPAA and privacy/security protocols at all times.
- Meet same-day or agreed-upon turnaround times for document completion.
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.
- Proficiency with EHR documentation and Microsoft Office.
Benefits
- Flexible working hours to accommodate varied shifts.
- Ongoing training and support to develop skills and expertise.
- A dynamic and supportive work environment.
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