
Medical Documenter
1 week ago
We are seeking a highly skilled Medical Documenter to join our team. This role involves documenting patient encounters in real-time and managing clinical information in the Electronic Medical Record (EMR) system.
The ideal candidate will have at least 1 year of experience as a medical scribe for an orthopedic or spine surgery team and possess strong knowledge of medical terminology related to orthopedics and spine.
Responsibilities: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 EMR 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
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 EMR platforms (preferably Athena Health)
Ability to follow a provider's workflow in real-time with accuracy and discretion
Experience with insurance verification and pre-authorizations
Comfortable with cost estimation and patient billing discussions
Strong written and spoken English skills (for patient communication)
Excellent organization, time management, and attention to detail
Ability to manage confidential information with professionalism and care
Competitive salary commensurate with experience
Opportunities for professional development and growth
Work in a dynamic and supportive team environment
Make a meaningful impact by helping to build and strengthen families
Not Applicable
Employment typeFull-time
Job functionAdministrative
IndustriesHospitals and Health Care
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