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Medical Documenter
3 weeks ago
As a medical documentation specialist, you will play a vital role in assisting healthcare providers during patient visits to accurately document assessments and exams. Your primary responsibility will be to record patient history, physical exams, assessments, diagnostic results, medical procedures, treatment plans, medical opinions of consultants, diagnoses, medication/prescription information, and follow-up instructions.
- Accompany providers during patient visits to assist in documenting the provider assessment and exam
- Document patient history, physical exams, assessments, diagnostic results, medical procedures, treatment plans, medical opinions of consultants, diagnoses, medication/prescription information, and follow-up instructions
- Navigate electronic health records and medical software systems with ease
- Monitor pending lab results and radiology orders for accuracy and completeness
- Review past medical history and test results on patients to inform medical decisions
- Maintain accurate and detailed records while adhering to regulatory requirements and industry standards
- No prior experience required; on-the-job training provided
- Commit to a minimum of 6 months to ensure adequate skill development
- Be flexible to work varying shifts, including weekends and holidays
- Ability to type at least 40 words per minute
- Access to thousands of work locations across the US and Canada
- Comprehensive onboarding program, including Scribe University and Clinical Training
- Opportunities to work in various specialties and locations
- Flexible scheduling options, including full-time and part-time positions
- Networking opportunities within the healthcare industry
- Employee discounts and perks, including Apple and AT&T
- Kaplan discount program
- Referral program offering $200 or more in incentives
- Comprehensive health insurance and 401(k) for full-time employees
- Diversity, equity, and inclusion focus
- A supportive and dynamic team culture
- Connections with universities and career advisors
- Regularly required to stand, walk, sit, use hands, handle documents, bend, and stoop as needed
- Regularly required to use a keyboard and computer
- Ability to sit or stand in front of a computer for several hours
