
Medical Clinical Documenter
6 days ago
A medical scribe plays a vital role in healthcare settings by accurately documenting clinical interactions in real-time.
This position allows medical professionals to focus on patient care while handling the documentation side of encounters.
- Documenting real-time patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs) such as Epic, AthenaNet/AthenaHealth, Cerner, or NextGen
- 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
The ideal candidate will possess excellent verbal and written English communication skills, a strong attention to detail, and the ability to work independently.
Additionally, proficiency in Google Workspace and/or Microsoft Office is preferred, along with experience with EMRs and HIPAA Certification.
Requirements- 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
- Proficiency 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
- Open to working night shifts
Key Responsibilities
- Document patient encounters accurately and efficiently
- Maintain confidentiality and handle sensitive patient data with discretion
- Collaborate with healthcare providers to ensure accurate and timely documentation
What We Offer
- Competitive compensation package
- Ongoing training and professional development opportunities
- A dynamic and supportive work environment
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