Medical Documentation Specialist
6 days ago
This role is ideal for experienced medical scribes who are comfortable with administrative tasks like insurance verification, payment estimation, and patient communications.
The Medical Documentation Specialist will work closely with the orthopedic spine surgeon to document patient encounters in real-time and manage clinical information in the electronic medical record (EMR).
Responsibilities:
Accompany the spine surgeon during patient visits and document history of present illness, physical exam findings, imaging reviews, diagnoses and differential diagnoses, treatment plans, surgical protocols, and follow-up instructions.
Accurately transcribe orthopedic and spine-specific terminology and procedures.
Update EMR records, including lab/imaging orders and prescriptions.
Draft referral letters, patient education materials, and pre-surgical documents.
Maintain accurate, HIPAA-compliant patient records.
Coordinate with clinical staff to ensure documentation supports seamless care.
Administrative Support:
Contact patients and review post-procedure pain logs; update documentation and track data accurately.
Conduct insurance verification and obtain prior authorizations.
Generate accurate payment estimates using internal tools and insurance data.
Explain insurance coverage and cost estimates clearly to patients.
Prepare and manage email correspondence and documentation.
Handle data entry, reporting, and coordination with staff as needed.
Requirements:
At least 1 year of experience scribing for an orthopedic or spine surgery team.
Strong knowledge of medical terminology related to orthopedics and spine.
Familiarity with EMR platforms (preferably Athena Health).
Ability to follow a provider's workflow in real-time with accuracy and discretion.
Benefits:
Competitive salary commensurate with experience.
Opportunities for professional development and growth.
Work in a dynamic and supportive team environment.
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