Clinical Documentation Specialist

IKS Health

Job Description

Main role of the scribe is to create medicolegally compliant, clinically sound high quality outpatient visit

documentation for some of the best US Hospitals across multiple specialties

1. Listen and comprehend recorded patient physician interactions, develop an impression about the clinical

condition and document clinical history, examination findings & plan of action Job Description Version

3

2. Create highly structured (literally medical text-book style) clinical notes, summarize findings and insightswith sections such as history of present illness, review of systems, physical examination, assessment

details, treatment plan etc.

3. Populate the summarized data in the electronic health record.(EHR)

4. Maintain clinical note quality using documentation norms and physician preferences

5. Understand and maintain desired level of clinical knowledge based on assigned specialty

6. Review edits made by the provider before approving the clinical note and work collaboratively with

training and quality to improve the provider experience

7. Share best practices and help create a knowledge repository to capture tacit knowledge.

• Experience

  0 - 6 Years

• No. of Openings

  50

• Education

  BDS, MBBS

• Role

  Clinical Documentation Specialist

• Industry Type

  Hospitals / Medical / Healthcare Equipments

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office