
Healthcare Documentation Specialist Wanted
16 hours ago
Healthcare Documentation Specialist Needed
Job DescriptionWe are seeking a skilled and detail-oriented individual to join our team as a Healthcare Documentation Specialist. This vital role requires strong communication skills, attention to detail, and the ability to work independently in a focused environment.
Key Responsibilities:- Accurately document patient encounters directly into the Electronic Health Record (EHR) during or immediately after visits.
- Capture relevant history, objective findings, assessments, treatment plans, and outcomes in clear, structured notes.
- Use clinic templates and standards to ensure notes are billable, compliant, and ready for provider sign-off.
- Prepare and edit patient notes, visit summaries, progress reports, and letters to referring physicians.
- Maintain consistency of records across encounters and ensure timely chart updates.
- Organize and track outstanding documentation for provider review.
- Assist with documentation needed for medical necessity, insurance authorization, and claims support.
- Enter or verify coding-related details (ICD/CPT as directed) and resolve documentation gaps that impact billing.
- Coordinate with administrative staff to ensure clean claims and reduce rework.
To be successful in this role, you must have:
- Proven experience as a medical scribe, medical virtual assistant, or healthcare documentation specialist.
- Strong written and spoken English communication skills.
- Typing speed of at least 45 WPM with high accuracy.
- Working knowledge of basic medical terminology (healthcare/clinical context).
- Proficiency with EHR documentation and Microsoft Office (Word, Excel, Outlook), with strict adherence to HIPAA.
- Ability to work independently in a focused, distraction-free environment.
This is a remote position that requires reliable internet and a quiet workspace. The working hours are Monday–Friday, 11:00 a.m.–8:00 p.m. Eastern Time, with a compensation rate of $7 per hour.
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