Responsibilities
- Reviews Physician dictation and transcribes to clinical notes in EMR/Billing systems
- Prepares and assembles medical record documentation/charts for physician(s).
- Ensures medical record compliance by self-documentation attestation.
- Updates patient history, physical exam, and other pertinent health information in
- the patient
- Prepares and sends all documentation to physicians for review and approval via
- authentication of detailed data entry and facility-specific procedures.
- Monitors the duration of basic lab results and screening procedures.
- Complies with hospital and medical facility policies, including those relating to
- HIPAA and Joint Commission.
- Performs other clerical duties and tasks to improve provider productivity and
- clinic workflow as assigned.
- Assign codes to diagnoses and procedures, using ICD (International
- Classification of Diseases) and CPT (Current Procedural Terminology) codes
- Ensure codes are accurate and sequenced correctly in accordance with
- government and insurance regulations
- Follow up with the provider on any documentation that is insufficient or unclear
- Communicate with other clinical staff regarding documentation
- Search for information in cases where the coding is complex or unusual
- Receive and review patient charts and documents for accuracy
- Review the previous day's batch of patient notes for evaluation and coding Ensure that all codes are current and active
Required skills and qualifications
- 3-5 years of experience as a Medical Scriber
- Experience should include the understanding and usage EHRs/EMRs
- Technical Skills: Microsoft Office Suites, Microsoft365, Typing
- Administrative writing skills
- Reporting skills
- Organizational skills
- Record-keeping
- Professionalism, confidentiality, and organization
- Solid oral and written communication skills
- This role is in Hyderabad, India (HITECH City) and the candidate must be able to work from the office.
Education, Experience, and Licensing Requirements:
- Medical coding or successful completion of a certification program
- Bachelor’s degree with pre-health career track preferred
- Strong knowledge of anatomy, physiology and medical terminology
- Familiarity with ICD-X codes and CPT Procedures
- Skilled in operating various medical record software and hardware, word-
- processing, and database software programs
Pay: ₹600,000.00 per year
Work Location: In person
