Medical Documentation Specialist

1 week ago

Rome, Georgia, United States ProScribe Full time
Job Summary

We are seeking a highly skilled and detail-oriented Medical Documentation Specialist to join our team at ProScribe. As a Medical Documentation Specialist, you will play a critical role in supporting our healthcare providers by accurately and efficiently documenting patient information.

Key Responsibilities
  • Prepare and assemble medical record documentation/charts to support healthcare providers
  • Enter the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications
  • Thoroughly update all components of the patient's medical record at the direction of the physician
  • Prepare and send all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures
  • Collaborate with healthcare staff to efficiently monitor basic lab results and screening procedures
  • Monitor duration of lab test and follow up as necessary
  • Ensure accurate documentation in patient record
  • Support compliance with hospital and ProScribe policies
  • Understand and maintain HIPAA regulations
  • Understand and maintain Joint Commission standards
  • Understand applicable policies for assigned site
  • Understand ProScribe policies as related to specific role
  • Demonstrate professionalism through adherence to ProScribe's attendance policies at assigned facility
  • Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned
Requirements
  • High school diploma or equivalent required
  • Must be 18+ years old and authorized to work in the US
  • Successful completion of a background check and drug screen
  • Ability to obtain proof of vaccinations as required by specific site
  • Typing speed 45+ WPM
  • Ability to fluently read, write, and understand English
  • Part-time: Available to work two shifts per week for a minimum of 6 consecutive months
  • Full-time: Available to work three shifts per week (32+ hours per week) for a minimum of 12 consecutive months
  • Ability to work shifts ranging from 8 to 12 hours
  • Ability to understand HIPAA regulations and appropriately maintain confidential patient and client information
Physical and Occupational Demands

The physical and occupational demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

  • Ability to stand with mobility for extended periods of time
  • Ability to sit for extended periods of time
  • Ability to view computer monitors with close vision, color vision, depth perception and ability to adjust your focus with good hand-eye coordination
  • Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
  • Ability to professionally function and communicate in an emotionally-charged, stressful, and diverse environment
  • Ability to operate in a fast-paced environment with potentially limited rest or break opportunities

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