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Duties & Responsibilities:
Document all elements of the physician and patient encounter into the EHR – Electronic Health Record
Understand basic ICD-10 documentation and current billing requirements.
Retain adequate knowledge of medical terminology.
Comply with PHI laws (HIPAA/HITECH) in addition to local facility department policies and procedures.
Perform non-clinical tasks specific to each facility as directed by Physician and Chief Scribe.
Education Requirements: High School Diploma / GED
Qualifications: Proficient typing, concise communication
Working Environment: work is performed in hospitals, emergency departments.
Working Conditions: Prolonged periods of standing, walking, moving.
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