Clinical Documentation Specialist

10 hours ago


Caloocan City, National Capital Region, Philippines beBeeDocumentation Full time $9,600
Medical Documentation Specialist

A Medical Documentation Specialist plays a vital role in the healthcare system by ensuring accurate and detailed patient records are maintained. This enables healthcare providers to focus on patient care while documentation is handled.

Key Responsibilities:
  • Documenting Encounters: Capture patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions with accuracy using Electronic Medical Records (EMRs) such as Epic, Cerner, or AthenaHealth.
  • Maintaining Charts: Update and maintain charts, medication lists, allergies, and problem lists.
  • Administrative Tasks: Assist with administrative tasks such as templating notes and handling visit summaries.
  • Patient Data Security: Ensure all documentation meets HIPAA standards and clinical requirements, maintaining confidentiality and discretion when handling sensitive patient data.
Requirements:
  • Excellent Communication Skills: Excellent verbal and written English communication skills are essential for success in this role.
  • Clinical Experience: At least 1–2 years of experience as a medical scribe or in a clinical documentation role.
  • MEDICAL TERMINOLOGY: Familiarity with medical terminologies and clinical workflows is necessary.
  • Technical Skills: Proficiency in Google Workspace and/or Microsoft Office, with experience in EMRs and typing speed being advantageous.

This position requires strong attention to detail, organizational skills, and the ability to work independently in a fast-paced environment.



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