medical documentation specialist

Signature Perinatal Center

Job OverviewAs a Medical Scribe at Signature Perinatal Center, you will play a vital role in supporting our physician through accurate and efficient medical documentation. This position offers invaluable hands-on experience in the medical field and the opportunity to work closely with a Maternal-Fetal Medicine specialist in a high-level clinical setting.Key Responsibilities<ul><li>Collaborate directly with our physician during patient visits by transcribing real-time documentation into the Electronic Medical Record (EMR).</li><li>Prepare, update, and maintain accurate patient charts, including histories, physical exams, assessments, and test results.</li><li>Ensure medical documentation is thorough, precise, and completed in a timely manner.</li><li>Support clinic workflow through administrative duties such as faxing lab results, managing referrals, and coordinating follow-up care.</li><li>Assist with coding and billing documentation.</li><li>Maintain strict HIPAA compliance and protect patient confidentiality at all times.</li><li>Take initiative in supporting clinic efficiency and enhancing patient care.</li><li>Demonstrate the ability to transcribe quickly and accurately while maintaining attention to detail.</li></ul>What We OfferHands-On Clinical Experience: Work side-by-side with a physician who is also a Clinical Professor at the University of Miami. Gain exposure to high-risk obstetrics and advanced medical decision-making.Mentorship: If you are pursuing medical school or PA school, our physician enjoys teaching and is invested in helping you grow professionally.Comprehensive Training: While medical terminology experience is preferred, we provide structured training to ensure you feel confident and prepared.Career Development: Many of our former scribes have successfully transitioned to medical and PA programs, gaining strong clinical foundations during their time with us.What We&rsquo;re Looking For<ul><li>A fast learner with strong critical thinking and problem-solving skills.</li><li>Strong computer skills and typing speed (70&ndash;80 WPM recommended).</li><li>Ability to work effectively both independently and as part of a team.</li><li>Compassionate, enthusiastic, and professional demeanor.</li><li>Ability to handle a fast-paced clinical environment with attention to detail.</li><li>Prior medical assistant or healthcare experience is a plus, but not required.</li></ul>Education &amp; Qualifications<ul><li>Bachelor&rsquo;s degree required.</li><li>Knowledge of medical terminology preferred (training provided).</li><li>Ability to commute to Fort Lauderdale, FL 33308.</li><li>In-person position.</li></ul>Benefits<ul><li>401(k) with employer matching</li><li>Health, dental, and vision insurance</li><li>Disability insurance</li><li>Paid time off</li><li>Monday&ndash;Friday schedule (8-hour shifts)</li></ul>Job Type: Full-timePay: $18.00 - $21.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Schedule:<ul><li>8 hour shift</li><li>Monday to Friday</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Ability to Commute:<ul><li>Fort Lauderdale, FL 33308 (Required)</li></ul>Work Location: In person

Medical Scribe

Qualix Solutions

Employment Type: Full-Time, Project-Based ContractDuration: 3 months (with potential for renewal or full-time position)Location: Onsite (PECHS, Karachi)About the RoleQualix Solutions is working on an innovative health tech product for a client building an AI-powered medical documentation and billing platform focused on cardiovascular and vascular procedures. The platform leverages advanced AI to improve documentation accuracy, streamline coding workflows, and optimize insurance reimbursement for hospitals and surgical teams.We are seeking a Medical Coding Specialist to help us accurately code procedures using CPT, HCPCS, ICD-10, and ICD-9 (via crosswalk mapping) codes. This is an opportunity to help shape an AI product from the ground up. You will work directly with our medical, development, and AI engineering teams to build coding logic that drives better documentation and billing outcomes.Our initial focus is on catheterization lab and vascular procedures, but we plan to expand into additional surgical specialties, so strong foundational knowledge of anatomy is essential.Work Environment Requirements<ul><li>Onsite onboarding with our medical and development teams is required before transitioning to remote work.</li><li>Working hours must align with US Eastern or Pacific time zones for team calls and collaboration.</li><li>Reliable internet connection for web conferencing.</li><li>Must appear on camera during video calls.</li><li>A quiet workspace with good lighting and audio quality is essential.</li></ul>ResponsibilitiesMedical Data Review and Annotation<ul><li>Review catheterization lab recordings to capture procedure details, anatomical locations, supplies used, and clinical findings.</li><li>Analyze vascular and echocardiogram ultrasound recordings and reports to identify relevant anatomy and contribute to platform training.</li><li>Correlate supply, anatomy, and clinical details with insurance reimbursement reports for cardiovascular procedures.</li><li>Assign appropriate CPT, HCPCS, ICD-10, and ICD-9 (crosswalked) codes to procedures and findings.</li><li>Research and document codes to address platform issues and minimize insurance delays or denials.</li></ul>Data Enrichment<ul><li>Create decision frameworks that help medical staff and our AI (Large Language Model) select the most precise codes for a given procedure or finding.</li><li>Support updates for the 2026 coding rules refresh.</li></ul>Quality Assurance<ul><li>Identify and resolve inconsistencies or errors in existing coding logic.</li><li>Guide corrections to AI-generated coding suggestions.</li><li>Uphold high standards for accuracy and completeness across all coding processes.</li></ul>Collaboration<ul><li>Provide constructive feedback to developers and AI engineers on coding accuracy.</li><li>Participate in workflow improvement discussions.</li><li>Help refine coding guidelines as the product evolves.</li></ul>Administrative AI Workflow<ul><li>Learn and implement AI tools to streamline daily operations and data entry.</li><li>Engage with various AI platforms that support operations, admin, and marketing functions.</li></ul>RequirementsEducation and Background<ul><li>Medical student, physician (recent graduates welcome), sonographer, medical coder, or other relevant medical field experience.</li><li>Strong foundational knowledge of human anatomy and medical terminology.</li><li>Familiarity with catheterization labs, vascular/hybrid surgery labs, vascular ultrasounds, or echocardiograms is a strong plus.</li><li>Familiarity with operating rooms and surgical procedures is a plus.</li></ul>Skills<ul><li>Understanding of US healthcare insurance billing rules and payer requirements.</li><li>Exceptional attention to detail and ability to follow structured guidelines.</li><li>Basic computer proficiency, including comfort with Excel and web-based tools (training on our platform will be provided).</li><li>Openness to learning new web technologies that can contribute to platform growth.</li><li>Interest and willingness to engage with AI platforms that support operations and workflows.</li></ul>Certifications (Preferred)<ul><li>CPC, CCS, or equivalent medical coding certification.</li></ul>Availability<ul><li>Full-time commitment for a minimum of 3 months.</li><li>Flexibility to align with US Eastern or Pacific time zones for team meetings.</li><li>Good internet access is required for Work-from-home; video sharing and being on camera during conference calls is mandatory.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary?</li><li>What is your expected salary?</li><li>Is your expected salary negotiable?</li><li>Please rate your English communication skills on a scale of 1 (Novice) to 10 (Expert)?</li></ul>Work Location: In person

Medical Coding Specialist (US Healthcare)

GRAPHlC ERA UNIVERSITY (GRAPHlC ERA EDUCATIONAL SOCIETY)

Job Summary:We are seeking a detail-oriented and proficient Medical Transcriptionist to join our team. The ideal candidate will be responsible for accurately transcribing medical reports dictated by physicians and other healthcare professionals, ensuring completeness, clarity, and compliance with organizational standards.Key Responsibilities:<ul><li>Listen to and accurately transcribe audio recordings of patient histories, consultations, diagnostic reports, operative notes, discharge summaries, and other medical documents.</li><li>Review and edit transcribed reports for grammar, clarity, accuracy, and medical terminology correctness.</li><li>Ensure all documentation complies with hospital guidelines, confidentiality norms, and relevant regulatory standards.</li><li>Identify discrepancies or inconsistencies in dictations and seek clarification when needed.</li><li>Maintain updated knowledge of medical terminology, procedures, and documentation standards.</li><li>Enter and format reports into the hospitals EMR/HIS system as required.</li><li>Meet daily productivity and accuracy targets while maintaining high-quality output.</li><li>Protect patient confidentiality and ensure compliance with HIPAA/medical data privacy norms.</li><li>Coordinate with physicians, nurses, and other healthcare staff for clarifications and smooth workflow.</li></ul>Requirements:<ul><li>Graduate in any discipline; certification in Medical Transcription preferred.</li><li>Minimum 1-2 years of experience as a Medical Transcriptionist (hospital experience preferred).</li><li>Excellent knowledge of medical terminology, anatomy, and healthcare documentation.</li><li>Strong listening, typing, and proofreading skills with high speed and accuracy.</li><li>Proficiency in transcription software, EMR systems, and MS Office.</li><li>Ability to work independently with minimal supervision.</li><li>Strong attention to detail, time management, and confidentiality standards.</li></ul>Job Type: Full-timePay: ₹10,740.39 - ₹27,092.20 per monthBenefits:<ul><li>Provident Fund</li></ul>Work Location: In person

Medical Transcriptionist

PRAKASH HOSPITAL

Job Description:We are looking for a skilled and detail-oriented Medical Transcriptionist to join our healthcare team. The candidate will be responsible for converting doctors&rsquo; voice recordings into accurate written medical reports.Key Responsibilities:<ul><li>Listen to recorded dictations from doctors and healthcare professionals.</li><li>Transcribe medical reports such as discharge summaries, OPD notes, operation notes, and case histories.</li><li>Edit and proofread reports for accuracy, grammar, and medical terminology.</li><li>Ensure confidentiality and security of patient records.</li><li>Maintain proper documentation in hospital systems.</li><li>Coordinate with doctors and medical staff when clarification is needed.</li><li>Follow hospital policies and medical documentation standards.</li></ul>Job Types: Full-time, PermanentPay: ₹15,000.00 - ₹25,000.00 per monthWork Location: In person

Imam Clinic

We are seeking a skilled and detail-oriented Hospital Transcriptionist to support accurate and timely medical documentation across patient care services. The ideal candidate will have strong knowledge of medical terminology and hospital documentation standards, with the ability to ensure clarity, accuracy, and confidentiality in all records.Key Responsibilities:<ul><li>Accurately transcribe doctors&rsquo; dictations, medical reports, discharge summaries, and clinical notes</li><li>Ensure confidentiality and compliance with hospital policies</li><li>Proof read and edit transcribed documents for accuracy and clarity</li><li>Meet turnaround times while maintaining high-quality standards</li></ul>Qualifications:<ul><li>Strong understanding of medical terminology, anatomy, and clinical procedures.</li><li>Females are encourage to apply.</li><li>Diploma or certification in Medical Transcription (preferred)</li><li>Strong English typing and listening skills</li><li>Knowledge of medical terminology</li><li>Prior hospital or clinical experience will be an advantage</li></ul>Job Type: Full-timeWork Location: In person

Transcriptionist

APPLE HOSPITAL, INDORE

Job Title: Discharge Medical Transcriptionist Location: Apple Hospital, Indore, Madhya Pradesh Job Type: Full-timeAbout Apple Hospital Apple Hospital is a multi-specialty healthcare institution in Indore committed to accurate, ethical, and patient-focused care supported by strong clinical documentation standards.Role Summary We are hiring a Discharge Medical Transcriptionist responsible for preparing accurate and complete discharge summaries and clinical documents dictated by consultants. The role focuses on timely documentation, accuracy, and strict confidentiality of patient records.Key Responsibilities<ul><li>Transcribe and format discharge summaries and clinical notes dictated by doctors</li><li>Edit and proofread reports for grammar, clarity, and medical accuracy</li><li>Ensure correct usage of medical terminology across specialties</li><li>Maintain required turnaround time for discharge documentation</li><li>Ensure confidentiality and secure handling of patient information</li><li>Coordinate with consultants and clinical teams for clarifications</li><li>Follow hospital documentation and quality standards</li></ul>Qualifications &amp; Experience<ul><li>Graduate in any discipline (Medical Transcription certification preferred)</li><li>1&ndash;3 years of experience in discharge/medical transcription</li><li>Good knowledge of general medical terminology</li><li>Proficiency in English typing and MS Word</li></ul>Required Skills Medical transcription &bull; Attention to detail &bull; Documentation accuracy &bull; Time management &bull; Confidentiality handlingApply Now Email: hr@aihrc.in Contact: 7987627393 Walk-in: Monday&ndash;Saturday | 10:00 AM &ndash; 5:00 PM Apple Hospital, IndoreJob Type: Full-timePay: ₹10,000.00 - ₹25,000.00 per monthBenefits:<ul><li>Commuter assistance</li><li>Flexible schedule</li><li>Leave encashment</li><li>Paid time off</li></ul>Ability to commute/relocate:<ul><li>Indore, Madhya Pradesh: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Discharge Typist: 1 year (Required)</li></ul>Shift availability:<ul><li>Day Shift (Preferred)</li></ul>Work Location: In person

Medical Transcriptionist (Discharge)

Swift Institute

*Job Summary* The Swift Institute is seeking a detail-oriented and dedicated Medical Scribe to join our healthcare team. The Medical Scribe will assist providers with appropriate, timely, and accurate documentation in the EHR system, allowing them to spend more face-to-face time with the patient. They accurately document the events and decision-making in a manner that results in appropriate medical charting. Scribes also complete clerical activities necessary to assist with the processing of physician orders for tests and medications, as well as gathering necessary information such as labs, radiology reports, etc.*Responsibilities* - Accurate, timely charting of patient encounters, including but not limited to patient history, physical exams, diagnostic findings, lab and test results, consultations with other providers, treatment course, diagnoses, discharge instructions, and prescriptions.- Professional, non-intrusive interaction with patients (the Scribe does not directly assist with patient care), physicians, and other co-workers.- Compliance with HOPCo policies, including those relating to the confidentiality of patient information.- Assist with all aspects of patient coordination of care as deemed necessary.- Other duties as assigned, including, but not limited to training other Scribes and staff.*Education*- Graduation from a Medical Assistant training program, Scribe training program, or other healthcare-related program preferred OR;- Six (6) months of applicable experience acceptable with successful completion of HOPCo&rsquo;s Competency Exam within the first 30-days of hire.*Experience*- Minimum of six (6) months of a medical group or healthcare back-office work experience or applicable healthcare work experience required.- Experience in orthopedics is preferred*Requirements* -Must be able to type 60+ WPM*Knowledge*- Knowledge of the health care field and orthopedics preferred.- Knowledge of policies and procedures with regard to patient care in the clinics.- Knowledge of patient confidentiality, state laws, HIPAA regulations, and medical records procedures*Skills*- Strong attention to detail and a commitment to high professional ethical standards.- Must be able to problem-solve under pressure- Coordinate multiple projects and patients*Abilities*- Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job.- Ability to actively listen with strong written and verbal communication skills. Keyboard proficiency- Ability to communicate and interact professionally with others.- Ability to operate a personal computer and related software applications.- Understanding of and commitment to the appropriate protection of confidential patient information*Enviornmental Working Conditions*- Normal office environment.- Some travel within the community.*Physical/ Mental Demands*- Requires sitting and standing associated with a normal office environment.- Some bending and stretching are required.- Manual dexterity using a calculator and computer keyboard*Organizational Requirements*- Swift Institute and HOPCo Mission, Vision, and Values must be read and signed.This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolveJoin our team as a Medical Scribe and contribute to enhancing patient care through precise documentation and support for our healthcare providers.Job Type: Part-timePay: $15.00 - $18.00 per hourBenefits:<ul><li>401(k) matching</li><li>Employee assistance program</li><li>Employee discount</li></ul>People with a criminal record are encouraged to applyAbility to Commute:<ul><li>Reno, NV 89521 (Required)</li></ul>Work Location: In person

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10000 medical documentation specialist jobs Near Me

Medical Scribe

Medical Coding Specialist (US Healthcare)

Medical Transcriptionist

Medical Transcriptionist

Transcriptionist

Medical Transcriptionist (Discharge)

Medical Scribe