Clinical Documentation Specialist — EMR & Care Coordination

DHR Health; Edinburg (TX); On-site; USD 36,000 - 54,000; Full time

Job summary

DHR Health in Edinburg, TX is seeking a Documentation Specialist to support the Heart Institute by documenting patient charts and coordinating physician documentation. The role requires accompanying physicians on rounds and ensuring accurate EMR entries.

Qualifications include high school completion, medical terminology knowledge, and preferred CNA/MA certification. Bilingual English/Spanish, strong written and verbal communication, and MS Office skills are essential in a fast-paced environment.

Qualifications

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

Responsibilities

• Promotes the facility mission, vision and values to others and integrates them into services and standards.
• Keep track of laboratory tests, medications, and radiology tests ordered by the physician.
• Gather data for physician review (e.g., lab results, radiology reports, medical records).
• Coordinate communication between physicians and staff; answer calls.
• Document consultations with patient’s primary care provider, family, or on-call physician.
• Take vital signs and prepare patient rooms as needed.
• Accompany provider to hospital to document consults or rounds when required.
• Provide patients with updates about waits and delays.
• Document procedures, diagnoses, treatment plans, prescriptions, and discharge information.

Skills

Medical terminology

Bilingual English/Spanish

Customer service

Excellent written and verbal沟通

Computer skills

Education

High School graduate or equivalency

Medical Terminology

CNA or Medical Assistant certification

Microsoft Office

Written and verbal communication ability

Tools

EMR system

Microsoft Office

Job description

DHR Health in Edinburg, TX is seeking a Documentation Specialist to support the Heart Institute by documenting patient charts and coordinating physician documentation. The role requires accompanying physicians on rounds and ensuring accurate EMR entries.

Qualifications include high school completion, medical terminology knowledge, and preferred CNA/MA certification. Bilingual English/Spanish, strong written and verbal communication, and MS Office skills are essential in a fast-paced environment.