
Medical Documentation Specialist
18 hours ago
We are seeking a detail-oriented Medical Documentation Specialist to assist healthcare providers in accurately documenting patient encounters during medical consultations. The ideal candidate will play a vital role in ensuring the accurate and efficient capture of patient information, enabling providers to focus more on patient care.
Key Responsibilities:- Documentation of Patient Encounters: Accurately transcribe patient history, symptoms, diagnoses, procedures, and treatment plans during medical examinations and consultations.
- Ensure timely and precise documentation of all clinical information in Electronic Health Records (EHR) systems.
- Maintain patient confidentiality according to HIPAA guidelines and company policies.
- Collaborate with physicians to ensure that documentation is aligned with medical billing and coding standards.
Requirements:
- High school diploma or equivalent required; Associate's or Bachelor's degree in a related field preferred.
- 1-2 years of experience as a medical scribe, medical assistant, or in a healthcare setting preferred.
- Strong understanding of medical terminology, procedures, and clinical documentation.
- Familiarity with EHR systems and medical documentation tools.
- Basic knowledge of medical billing and coding processes, including ICD-10, CPT, and HCPCS codes.
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