Job Description:
• Assist the physician with daily patient documentation and progress notes.
• Accurately transcribe and organize physician dictations.
• Prepare structured and complete clinical notes for patient records.
• Ensure all documentation is medically accurate and professionally formatted.
• Review and summarize patient concerns and clinical objectives.
• Analyze vital signs, lab results, and diagnostic data.
• Review nursing progress notes and incident reports.
• Track specialist consults, follow-ups, and pending appointments.
• Maintain clear and organized patient summaries for physician review.
• Navigate and update patient records within the PCC EMR system.
• Ensure all entries are accurate, complete, and properly categorized.
• Support ongoing EMR workflow efficiency and accuracy.
• Assist the physician during rounding when real-time documentation is required.
• Capture and organize clinical updates during patient interactions.
• Maintain strict HIPAA compliance and patient confidentiality at all times.
• Collaborate with the physician through Microsoft Teams and other communication tools.
Requirements:
• A medical doctor (MD) is required due to the complexity of the role.
• Strong clinical background with experience in medical documentation.
• Deep understanding of medical terminology, patient care workflows, and clinical processes.
• Experience using Electronic Medical Record (EMR) systems required.
• Ability to accurately interpret physician dictation with minimal supervision.
• Strong attention to detail and a high level of accuracy.
• Excellent written English communication skills.
• Ability to work independently in a high-pressure medical environment.
• Prior experience as a Medical Scribe or Clinical Documentation Specialist is a strong advantage.
• Familiarity with patient rounding workflows is preferred.
Benefits:
• Competitive rates
• Weekly payments
• Various open roles are available
• Free training and upskilling
• Constant support and guidance
• A vibrant community always ready to support you
• And more!