
Healthcare Documentation Specialist
1 week ago
The primary objective of this role is to assist medical professionals in documenting clinical interactions in real-time. This requires accuracy and attention to detail, ensuring that patient records are up-to-date and comprehensive.
This is a key aspect of the healthcare industry, as it enables medical providers to focus on delivering quality care rather than spending excessive time on documentation.
Responsibilities:
- Documenting patient encounters during consultations using electronic medical records (EMRs) such as Epic or Cerner.
- Accurately capturing patient information, including histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions.
- Maintaining charts, medication lists, allergies, and problem lists while ensuring HIPAA compliance.
- Assisting with administrative tasks such as templating notes and handling visit summaries.
- Providing context for current visits by reviewing prior records.
- Communicating effectively with providers to clarify and ensure accurate documentation.
- Excellent written and verbal communication skills in English.
- At least 1–2 years of experience in a clinical documentation role or as a medical scribe.
- Familiarity with medical terminology and clinical workflows.
- A degree in a healthcare-related field is highly preferred.
- Proficiency in Google Workspace and/or Microsoft Office.
- Experience with EMRs like Epic or Cerner is beneficial.
- HIPAA Certification is advantageous.
- Fast and accurate typing skills.
- Strong attention to detail.
- Organized and focused work habits.
- Flexibility to work varying shifts, including nights.
- Competitive monthly rate of $800 USD.
- Employment as an independent contractor.
- Free training program.
- Paid time off benefits.
- Group health insurance coverage.
- Optical rewards scheme.
- Performance-based salary increase opportunities.
- Permanent remote work arrangement.
- Primary System:
- Computer Processor: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher.
- Computer Memory/RAM: 8 GB.
- Computer Operating System: At least Windows 10/11 64-bit or macOS Ventura.
- Headset: Any USB-type headset with noise-cancelling feature.
- Camera: Clear video output capability.
- Backup System Options:
- Option 1 (Backup System):
- Computer Processor: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher.
- Computer Memory/RAM: 8 GB.
- Computer Operating System: At least Windows 10/11 64-bit or macOS Ventura.
- Headset: Optional USB-type headset with noise-cancelling feature.
- Option 2 (Power Supply - UPS):
- Must power your workstation for at least 3 hours.
- Typically requires 240Wh or higher capacity.
- Capable of accepting all required plugs for the primary device and work environment.
- Option 1 (Backup System):
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