
Clinical Documentation Assistant
24 hours ago
This role enables medical professionals to focus on patient care by handling the documentation aspect of encounters.
- Documenting real-time patient interactions during virtual or recorded consultations using Electronic Medical Records (EMRs) such as Epic, AthenaNet/AthenaHealth, Cerner, or NextGen
- Capturing accurate patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions
- Maintaining up-to-date 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
- Ensuring clear communication with providers for clarification and accuracy of documentation
- Ensuring all documentation is HIPAA-compliant and meets clinical and legal standards
Requirements:
- Excellent verbal and written English communication skills
- At least 1-2 years of experience in a medical documentation role or as a medical scribe
- 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
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