
Clinical Documentation Specialist
6 hours ago
We are seeking a skilled Medical Scribe with a background in Home Health to support our clinical team.
The ideal candidate will have hands-on experience with home health workflows, strong electronic medical record (EMR) skills, and excellent attention to detail.
The Medical Scribe will work closely with nurses and other healthcare professionals to assist with documentation, focusing on pre-charting and post-charting of comprehensive assessments in EMR systems.
Key Responsibilities:
- Complete pre-charting on comprehensive home health assessments in EMR systems.
- Assist with post-charting by accurately documenting clinical notes and required details.
- Ensure that documentation is complete, accurate, and compliant with regulatory standards.
- Work collaboratively with nurses to support the review and finalization of patient records.
- Maintain strict confidentiality of patient health information in accordance with HIPAA regulations.
- Stay up-to-date with home health documentation requirements and best practices.
Requirements:
- Education: Associate's degree or higher in a healthcare-related field is preferred.
- Experience:
- Minimum 1–2 years of experience as a Medical Scribe or similar role.
- Prior experience in home health documentation is required.
- Proficiency in EMR systems, particularly MatrixCare, is strongly preferred.
- Strong understanding of home health processes, including OASIS and care planning.
- Excellent written communication and data entry skills.
- High attention to detail and accuracy in medical documentation.
- Ability to work independently in a remote, fast-paced environment.
- Strong organizational and multitasking skills.
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