Clinical Documentation Specialist, Plastic & Reconstructive

DHR Health; McAllen (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

DHR Health is seeking a Document Specialist in Plastic & Recon Surg to support physicians with chart documentation. You will accompany clinicians during rounds, record observations, and ensure accurate EMR entries to reflect diagnoses, treatments, and follow-up plans.

Ideal candidates have medical terminology knowledge, strong Microsoft Office skills, and bilingual English/Spanish abilities to communicate with diverse patients and staff in a fast-paced hospital setting.

Qualifications

• Medical Terminology required.
• Proficient in Microsoft Office.
• Bilingual English/Spanish communication.

Responsibilities

• Promotes the facility mission, vision and values in daily work.
• Keep track of laboratory tests, medications, and radiology tests ordered by the physician.
• Gather data for physician review and coordinate communications between physicians and staff.
• Document all procedures and diagnoses as dictated by the physician.

Skills

Medical Terminology

Microsoft Office

Bilingual English/Spanish

Communication skills

Education

High School diploma or equivalency

Tools

EMR system

Job description

DHR Health is seeking a Document Specialist in Plastic & Recon Surg to support physicians with chart documentation. You will accompany clinicians during rounds, record observations, and ensure accurate EMR entries to reflect diagnoses, treatments, and follow-up plans.

Ideal candidates have medical terminology knowledge, strong Microsoft Office skills, and bilingual English/Spanish abilities to communicate with diverse patients and staff in a fast-paced hospital setting.