
Medical Documentation Specialist
1 week ago
A medical scribe is a vital member of the healthcare team, responsible for documenting clinical interactions in real-time. This role allows healthcare professionals to focus on patient care by handling the documentation side of the encounter.
The primary responsibilities of a medical scribe include:
- Documenting patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs)
- Capturing accurate and detailed 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
In order to excel in this role, candidates should possess:
- 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
This role offers a competitive starting rate and opportunities for growth and development. As an independent contractor, you will have the flexibility to work from home and choose your own schedule.
You will also have access to free training and ongoing support to ensure your success in this role.
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