
Clinical Documentation Specialist
14 hours ago
A medical scribe plays a vital role in healthcare by documenting clinical interactions in real-time.
This enables medical professionals to focus on patient care while ensuring accurate and detailed records.
Key responsibilities include:
- Documenting patient encounters during virtual consultations using Electronic Medical Records (EMRs).
- Accurately capturing patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions.
- Updating and 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.
- Excellent verbal and written English communication skills.
- 1-2 years of experience as a medical scribe or in a clinical documentation role.
- Familiarity with medical terminologies and clinical workflows.
- Healthcare-related degree highly preferred.
- Proficiency in Google Workspace and/or Microsoft Office.
- Experience with EMRs such as Epic, Cerner, or AthenaHealth a plus.
- HIPAA Certification a plus.
- Starting rate: $800 monthly.
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