
Clinical Documentation Specialist
1 week ago
We are seeking a highly skilled Medical Scribe with administrative support experience to join our team remotely. As a medical scribe, you will accompany orthopedic and spine surgeons during patient visits and document accurate, timely, and HIPAA-compliant records.
Detailed Responsibilities:- Ambulatory care professionals will accompany the surgeon (remotely) during patient visits and document:
- History of present illness
- Physical exam findings
- Imaging reviews (MRI, CT, X-rays)
- Diagnoses and differential diagnoses
- Treatment plans, surgical protocols, and follow-up instructions
- Accurately transcribe orthopedic and spine-specific terminology and procedures
- Update electronic health record (EHR) records, including lab/imaging orders and prescriptions
- Draft referral letters, patient education materials, and pre-surgical documents
- Maintain accurate, HIPAA-compliant patient records
- Coordinate with clinical staff to ensure documentation supports seamless care
You will also provide administrative support, including:
- Contacting patients and reviewing post-procedure pain logs; update documentation and track data accurately
- Conducting insurance verification and obtaining prior authorizations
- Generating accurate payment estimates using internal tools and insurance data
- Explaining insurance coverage and cost estimates clearly to patients
- Preparing and managing email correspondence and documentation
- Handling data entry, reporting, and coordination with staff as needed
- At least 1 year of experience scribing for an orthopedic or spine surgery team
- Strong knowledge of medical terminology related to orthopedics and spine
- Familiarity with EHR platforms (preferably Athena Health)
- Ability to follow a provider's workflow in real-time with accuracy and discretion
This role demands focus, medical knowledge, and discretion. You'll be joining a fast-paced, innovative team that holds high standards for patient care and documentation accuracy.
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