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Clinical Documentation Specialist

Emergency Medicine Associates
Asbury Park, NJ Part Time
POSTED ON 2/7/2025
AVAILABLE BEFORE 3/8/2025

**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

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