Clinical Documentation Specialist – Bilingual (English/Spanish)

DHR Health; Edinburg (TX); On-site; USD 38,000 - 54,000; Full time

Job summary

DHR Health in Edinburg, TX is seeking a Documentation Specialist to assist physicians with chart documentation, accompany rounds, and record observations either on paper or in an EMR system. The role requires a high school diploma, medical terminology knowledge, and preferred CNA/MA certification.

Strong bilingual communication, organization, and customer service skills are essential to support patient care and documentation accuracy.

Qualifications

• High School graduate or equivalency preferred.
• Medical Terminology required.
• CNA or Medical Assistant certification preferred.
• Computer skills with Microsoft Office suite.
• Good written and verbal communication skills required.
• Bilingual – English/Spanish.

Responsibilities

• Promotes the facility mission, vision and values in daily practice.
• Keep track of laboratory tests, medications, and radiology tests ordered by the physician.
• Gather data for physician review (lab results, radiology reports, medical records).
• Coordinate communication between physicians and staff; answer calls.
• Document consultations and patient information as dictated.
• Take vital signs and assist with patient rooming as needed.
• Accompany provider to hospital for consults or rounds when required.
• Provide patients with updates about waits and delays.
• Document all procedures, diagnoses, treatment plans, and discharge information.
• Other duties as assigned.

Skills

Bilingual English/Spanish

Written and verbal communication

Reasoning ability

Independent judgment

Education

High School graduate

Medical Terminology

CNA or Medical Assistant certification

Tools

Microsoft Office

EMR system

Job description

DHR Health in Edinburg, TX is seeking a Documentation Specialist to assist physicians with chart documentation, accompany rounds, and record observations either on paper or in an EMR system. The role requires a high school diploma, medical terminology knowledge, and preferred CNA/MA certification.

Strong bilingual communication, organization, and customer service skills are essential to support patient care and documentation accuracy.