Clinical Documentation Specialist: AI-Enabled EMR Expert

Integritycaregroup; Muskogee (OK); On-site; USD 36,000 - 52,000; Full time

Job summary

Integritycaregroup is seeking a Clinical Support Specialist to document healthcare records under provider guidance while ensuring compliance with clinic and regulatory policies. You will use AI-enabled tools and the EMR to capture HPI, ROS, exams, and provider observations.

You will review AI-generated documentation for accuracy, prepare records for signature, and manage orders, lab results, and discharge documentation. The role supports patient flow and effective communication with patients.

Qualifications

• Must have a high school diploma or equivalent and be BLS certified.
• Healthcare setting experience is preferred.
• Proficiency with computer programs and EMR systems required.
• Ability to read and write medical terminology accurately.

Responsibilities

• Document healthcare records during patient encounters under provider direction.
• Review AI-generated documentation for completeness and clarity.
• Prepare clinical documentation for provider review and signature.
• Enter and queue orders for labs, imaging, medications, and prescriptions.
• Process lab results and diagnostic testing in the EMR.
• Support discharge workflows and patient paperwork in the EMR.
• Maintain patient flow and assist with timely discharges.
• Communicate wait times, results, and care updates to patients.
• Assist with pharmacy management activities and prescription processing.
• Manage provider inbox tasks and patient communications.
• Document procedures and EKG interpretations as directed.
• Assist with laboratory operations and specimen processing as needed.
• Answer clinic phones and route requests appropriately.
• Collaborate with staff to improve clinic efficiency and patient experience.
• Monitor outstanding tasks and escalate as needed.

Skills

PC skills

Medical terminology

Shift flexibility

Patient transport

Interpersonal communication

Education

High School Diploma or equivalent

BLS certification

Tools

EMR systems

AI-enabled documentation tools

Job description

Integritycaregroup is seeking a Clinical Support Specialist to document healthcare records under provider guidance while ensuring compliance with clinic and regulatory policies. You will use AI-enabled tools and the EMR to capture HPI, ROS, exams, and provider observations.

You will review AI-generated documentation for accuracy, prepare records for signature, and manage orders, lab results, and discharge documentation. The role supports patient flow and effective communication with patients.