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Clinical Documentation Expert

2 months ago


Brandon, Florida, United States Innovative Healing Systems Inc Full time
Job Summary

Innovative Healing Systems Inc is seeking a highly skilled Medical Scribe Specialist to join our team. As a Medical Scribe Specialist, you will play a critical role in supporting our physicians by accurately documenting patient encounters and medical information.

Key Responsibilities
  • Accompany physicians into patient examination rooms to transcribe medical histories, physical exams, assessments, and plans.
  • Document accurately the physician's encounter with the patient and others present, including diagnoses, symptoms, follow-up instructions, and prescriptions.
  • Transcribe patient orders, including laboratory tests, radiology tests, medications, and procedures.
  • Review past medical histories, previous visit encounters, past results, and studies to ensure accurate documentation.
  • Understand and comply with hospital and medical facility policies, including HIPAA and Joint Commission requirements.
  • Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.
Requirements

To be successful as a Medical Scribe Specialist, you will need:

  • At least 1 year of medical terminology experience.
  • At least 1 year of medical scribe/medical transcription experience.
What We Offer

Innovative Healing Systems Inc offers a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive compensation package.