What are the responsibilities and job description for the Clinical Documentation Specialist position at Emergency Medicine Associates?
**Job Overview:**
The Clinical Documentation Specialist plays a vital role in providing Emergency and Hospitalist Medicine Department clinicians with documentation assistance and follow-up on diagnostics/consults/orders, etc. This support is crucial in allowing clinicians to devote more time to directly interacting with patients.
This position is ideal for entry-level healthcare professionals seeking to build their medical knowledge and gain valuable clinical experience by working alongside numerous MDs, NPs, and PAs.
Required Skills and Qualifications:
- High School Diploma or equivalent required
- Completion of science or clinical coursework at the undergraduate level or above required. Work experience in a direct patient care clinical setting may be considered in lieu of science or clinical coursework.
- Work, volunteer, or shadowing experience in the healthcare field required. Experience in a direct patient care environment preferred (e.g., medical scribe, patient care technician, medical assistant, EMT).
Preferred Qualifications:
- Bachelor's degree
- Superb listening, verbal, and written communication skills
- Accuracy and attention to detail
- Excellent organizational and time management skills
- Ability to work in a fast-paced, stressful environment
- Ability to type 50 words per minute adjusted for errors
Scheduling Requirements:
- Part-time positions available with flexible scheduling
- Rotating shifts, including day and night shifts, 7 days a week
- Guaranteed one shift per week, minimum 12 hours
Essential Functions:
- Accompany clinicians into patient rooms and transcribe clinician dictations/notes
- Actively listen to conversations pertaining to patient care between clinicians and other healthcare providers, patients, family, etc., and document relevant information into the EMR
- Document clinician and patient encounters into the EMR
- Seek out missing information from clinicians to complete the physician chart
- Gather and input pertinent patient information from external sources (e.g., outpatient lab tests, nursing home/EMS records)
- Place phone calls to PMD offices, pharmacies, etc., as requested by clinicians
Benefits and Perks:
- Market-competitive salary and benefits package
- Comprehensive health insurance
- Dental and vision insurance
- Retirement plans
- Short- and long-term disability insurance
- Life and accidental death insurance