
Clinical Documentation Coordinator
1 day ago
Job Role Overview
Medical Documentation SpecialistWe are seeking a highly skilled Medical Documentation Specialist to join our team. As a Medical Documentation Specialist, you will play a vital role in supporting healthcare providers by accurately and efficiently documenting clinical interactions.
Key Responsibilities:
- Accurate documentation of patient encounters using Electronic Medical Records (EMRs)
- Capturing patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions
- Maintaining charts, medication lists, allergies, and problem lists
- 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
Requirements and Qualifications
Fundamental 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
- A healthcare-related degree is highly preferred
- Proficient with Google Workspace and/or Microsoft Office
- Experience with EMRs such as Epic, Cerner, or AthenaHealth is a plus
- HIPAA Certification is a plus
- Fast and accurate typing skills
- Strong attention to detail
- Organized and highly focused
Seniority level: Entry-level
Employment type: Full-time
Job function: Administrative
Industry: Non-profit Organizations and Primary and Secondary Education
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