Clinical Documentation/Healthcare Support Operations Role - BAMS/BHMS/BDS/BPT (0-10 yrs)
The 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
2. Create highly structured (literally medical textbook style) clinical notes, summarize findings and insights- with sections such as the 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 the desired level of clinical knowledge based on assigned specialty
6. Review edits made by the provider before approving the clinical note and work collaboratively
Qualification required :
BAMS/BHMS/BDS/BPT
Even fresher can apply
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