Clinical Documentation Specialist
3 days ago
USA Clinics Group
We are seeking a highly skilled Clinical Documentation Specialist to join our team.
About the Role:
The Clinical Documentation Specialist will be responsible for accurately capturing and documenting patient clinical information in the electronic medical record. This role requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment.
Key Responsibilities:
- Assist physicians in the examination room to capture accurate and complete documentation of patient encounters.
- List all diagnoses, symptoms, and follow-up instructions as dictated by the physician.
- Transcribe patient orders, including laboratory tests, radiology tests, medications, and other relevant information.
- Maintain accurate and up-to-date documentation of procedures performed by physicians.
- Ensure that all documentation meets or exceeds quality and regulatory standards.
Requirements:
- High school diploma or equivalent required.
- 6 months experience as a Medical Scribe or equivalent education and experience required.
- Fluent in Spanish and English required.
Benefits:
- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (401k, IRA)
- Paid Time Off (Vacation/Sick Days)
Estimated Salary: $19.00-$21.00 per hour, based on industry standards and location. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this exciting opportunity.
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