
Healthcare Documentation Specialist
1 day ago
Job Description:
We are seeking a highly organized and detail-oriented Medical Records Assistant to join our team in managing patient documentation, record-keeping, and correspondence. This role requires a professional with a background in psychology to assist in crafting medical letters, handling patient records, and ensuring compliance with legal and confidentiality standards.
The successful candidate will be responsible for:
- Assisting the psychiatrist in managing and organizing medical documentation, ensuring accuracy and completeness.
- Drafting professional letters, clinical notes, and reports based on the psychiatrist's assessments and patient prognosis.
- Preparing and updating patient records in compliance with healthcare regulations and confidentiality policies.
- Accurately entering, retrieving, and maintaining patient data within the medical records system.
- Responding to patient and legal requests for medical records while ensuring compliance with HIPAA and confidentiality guidelines.
- Coordinating with nurses, administrative staff, and other healthcare professionals for proper documentation flow.
- Reviewing medical history and prognosis details to assist in crafting treatment-related correspondence.
- Ensuring timely processing and organization of patient files for easy access by authorized personnel.
- Assisting in quality control checks to maintain accuracy and compliance in all medical documents.
- Maintaining strict confidentiality and handling sensitive patient information with discretion.
- Communicating effectively with team members to ensure smooth documentation and record-keeping processes.
- Providing administrative support for documentation-related inquiries from internal staff and external stakeholders.
Qualifications:
To be considered for this role, you should possess:
- Bachelor's in Psychology (preferred).
- Strong written and verbal communication skills.
- Previous experience in medical records handling or administrative roles in a healthcare setting is preferred.
- Proficiency in medical terminology and documentation.
- Excellent attention to detail and ability to handle sensitive information responsibly.
- Strong organizational skills and ability to manage multiple tasks efficiently.
- Ability to work independently with minimal supervision.
Seniority level: Associate
Employment type: Full-time
Job function: Customer Service, Other, and Health Care Provider
Industries: Hospitals and Health Care, Hospitals, and Medical Practices.
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