Medical Documentation/Records Specialist

Key Responsibilities

• Review, verify, and maintain accurate clinical documentation in Electronic Health Record (EHR) systems.
• Ensure completeness and accuracy of patient medical records.
• Work closely with physicians, coders, and healthcare professionals to resolve documentation queries.
• Maintain compliance with healthcare documentation standards and regulatory requirements.
• Support ICD-10/CPT documentation processes and documentation improvement initiatives.
• Perform quality checks and audits on medical records.
• Update patient information while ensuring confidentiality and data security.
• Assist in improving documentation workflows and operational efficiency.
• Prepare reports related to documentation quality and compliance.
• Maintain high standards of documentation accuracy and turnaround time.

Required Skills

• Strong knowledge of Medical Terminology.
• Experience with Electronic Health Records (EHR).
• Understanding of Clinical Documentation Improvement (CDI).
• Familiarity with ICD-10/CPT documentation.
• Excellent written communication skills.
• Strong analytical and organizational abilities.
• High attention to detail.
• Knowledge of Microsoft Office applications.
• Ability to work independently and collaboratively.

Pay: AED2,500.00 - AED3,000.00 per month

Work Location: In person