
Medical Documentation Specialist
1 day ago
We are seeking a detail-oriented and organized medical documentation specialist to join our team. As a medical scribe, you will play a vital role in healthcare by accurately documenting clinical interactions.
- Document real-time patient encounters using Electronic Medical Records (EMRs) such as Epic, AthenaNet/AthenaHealth, Cerner, or NextGen.
- Capture patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions.
- Update and maintain charts, medication lists, allergies, and problem lists.
- Assist with administrative tasks such as templating notes and handling visit summaries.
- Review prior records to provide context for current visits.
- Maintain communication with providers for clarification and accuracy of documentation.
- Evaluate all documentation for HIPAA compliance and clinical/ legal standards.
- Demonstrate strong attention to detail and discretion when handling sensitive patient data.
- 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.
- Proficient in 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.
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