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Medical Documentation Specialist

2 months ago

Topeka, Kansas, United States Oak Street Health Full time

Job Summary

Oak Street Health is seeking a highly skilled Medical Documentation Specialist to join our team. As a Medical Documentation Specialist, you will play a critical role in supporting our primary care providers with clinical documentation, allowing them to focus on delivering exceptional patient care.

Key Responsibilities

  • Document Patient Encounters
    • Join the provider in the exam room to observe patient visits
    • Document patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam
    • Assign appropriate CPT and ICD-10 codes
    • Prepare After Visit Summaries
    • Consult with provider to ensure accurate and specific documentation
  • Clinical Documentation Improvement
    • Request and review medical records
    • Leverage Oak Street's population health tools to support clinical documentation improvement
    • Prepare for and support Daily Huddles and Clinical Documentation Reviews
    • Consult with provider on clinical documentation opportunities
  • Administrative Support
    • Place orders and referrals
    • Address tasks
    • Support the care team with additional responsibilities related to clinical documentation

Requirements

  • Knowledge
    • Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience
    • Prior clinical experience, including shadowing and/or volunteering
    • Prior scribe or transcription experience
  • Skills
    • Advanced listening and communication skills
    • Strong computer literacy and ability to learn new technical workflows
    • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve
  • Abilities
    • Ability to adapt to new workflows and to quickly learn new concepts and skills
    • Ability to type 70+ words per minute
    • Ability and willingness to take direction and be a member of a team providing patient care
    • Ability to be a self-starter within your role scope
    • Excellent job attendance and ability to work in-person in our clinics
    • Ability to commit to at least 1 year in role
    • Ability to work approximately 40-45 hours per week during clinic hours
    • Compliance with hospital and Oak Street Health policies, including HIPAA
    • US work authorization

What We're Looking For

We're seeking a team member who embodies our service standards and is:

  • Competent
  • Dependable
  • Inclusive
  • Seamless
  • Someone who embodies being 'Oaky'

What Does Being 'Oaky' Look Like?

  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to 'Rebuild healthcare as it should be', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody 'Oaky' values and passion for our mission.

Oak Street Health Benefits

  • Mission-focused career impacting change and measurably improving health outcomes for medicare patients
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Opportunities for leadership development and continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement