Clinical Documentation Specialist, Cardiology Department

1 week ago


Washington, Washington, D.C., United States Prisma Health Full time
Overview

We are seeking a detail-oriented Clinical Documentation Specialist to join our Cardiology team at Prisma Health. As a key member of our healthcare team, you will play a vital role in ensuring accurate and timely documentation of patient encounters.

Job Summary

The Clinical Documentation Specialist will accompany physicians during office-based patient encounters, accurately documenting events and decision-making in the medical chart. This position involves handling time-consuming clerical responsibilities, allowing physicians to focus on providing exceptional patient care.

Responsibilities
  • Accompany physicians into examination rooms to transcribe patient history, physical exam findings, and document encounters with patients and others present.
  • Enter diagnoses, symptoms, follow-up instructions, and prescription refills as dictated and signed by physicians.
  • Document patient orders, including laboratory tests, radiology tests, and hospital procedures, as dictated and signed by physicians.
  • Prepare plans for follow-up care, as directed by physicians.
  • Provide advanced support to physicians, including documenting phone calls, scanning outside medical records, completing referrals, and scheduling follow-up appointments.
  • Travel with physicians to outlying clinics as needed.
Requirements
  • High school diploma or equivalent preferred.
  • No previous experience is required; 6 months of experience as a Medical Scribe is preferred.
  • Medical scribe certification is preferred.
  • Knowledge of Medical Terminology and/or ICD 9 & 10 coding is preferred.
Benefits

As a valued member of our team, you will enjoy a competitive salary and a range of benefits, including:

  • Estimated annual salary: $45,000 - $65,000 depending on location and experience.
About Us

At Prisma Health, we are committed to transforming healthcare for the benefit of our communities. We believe that talented individuals like you are essential to achieving this vision. If you are passionate about delivering exceptional patient care and have a strong work ethic, we encourage you to apply for this exciting opportunity.



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