Clinical Documentation Coordinator
2 weeks ago
This role involves working closely with healthcare providers to document clinical interactions in real-time, ensuring accurate and detailed patient records. The Medical Scribe allows medical professionals to focus more on patient care by handling the documentation side of the encounter.
Key Responsibilities:- 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.
- Demonstrating strong attention to detail and discretion in handling sensitive patient data.
The ideal candidate will have 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, and experience with EMRs such as Epic, Cerner, or AthenaHealth is a plus.
Skills:- Strong attention to detail.
- Organized and highly focused.
- Familiarity with medical terminology.
- Proficient with electronic medical records (EMRs).
- Excellent communication skills.
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