Medical Documenter

2 weeks ago


Morgantown, West Virginia, United States West Virginia University Hospitals, Inc. Full time
Job Summary

We are seeking a highly skilled Medical Documenter to join our team at West Virginia University Hospitals, Inc. As a Medical Documenter, you will play a critical role in documenting the physician's or licensed independent practitioner's dictation and/or activities into the medical record.

Key Responsibilities
  • Document patient information, including history of present illness, past medical history, review of systems, medications, social history, family history, allergies, and other elements of the patient chart.
  • Transcribe consultations or discussions with family and/or the patient's private physician or the on-call physician.
  • Gather laboratory results, radiology results, medical records, and other data for review by the physician or licensed independent practitioner.
  • Ensure that data is not entered into the EMR, chart, or otherwise incorporated into the medical record until it has been reviewed and approved by the physician's or licensed independent practitioner.
  • Continuously check on the progress of this data to get the patient's workup complete so that the physician or licensed independent practitioner is able to make treatment decisions.
Requirements
  • High School Diploma or equivalent required.
  • West Virginia state criminal background check required, and Federal, if applicable, for DHHR BMS regulated area.
Equal Opportunity Employer

West Virginia University Hospitals, Inc. is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here.


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