Documentation Specialist - FT - Days - Oncology Shared

DHR Health; Edinburg (TX); Presencial; USD 32.000 - 52.000; Jornada completa

Descripción de la vacante

DHR Health in Edinburg, TX is seeking a Documentation Specialist to support physicians in recording patient encounters and charting observations in the EMR. The role involves accompanying providers during rounds and ensuring complete, accurate documentation.

Candidates should have a High School diploma or equivalent, strong Microsoft Office skills, and excellent written and verbal communication. Prior hospital or physician-office experience and EMR familiarity are preferred.

Formación

• High School graduate or equivalency is preferred.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.

Responsabilidades

• Promotes the facility mission and communicates values to others.
• Keep track of laboratory tests, medications, and radiology tests ordered by the physician.
• Gather data for physician review (i.e., laboratory results, faxed radiology reports, medical records).
• Coordinate communication between physicians and staff, make and answer telephone calls.
• Document any consultations the physician makes to a patient’s personal doctor, family members, on‑call physician, or other members of the medical community.
• Take vital signs and room patients as needed.
• Accompany provider to hospital to document consults or hospital rounds as needed.
• Provide patients with updates about waits and delays.
• Document all procedures done by the physician, as dictated by the physician.
• Responsible for documenting all diagnoses, treatment plans, prescriptions, and discharge/follow‑up information for each patient.
• Other duties as assigned

Conocimientos

Written communication

Verbal communication

Customer service

Reasoning ability

Independent judgment

Educación

High School diploma or equivalency

Herramientas

Microsoft Office

EMR systems

Descripción del empleo

Documentation Specialist - FT - Days - Oncology Shared - 21159

US:TX:Edinburg | RMF CLINIC | Full Time

Description

DHR Health - US:TX:Edinburg - Days

POSITION SUMMARY

The Primary role of a medical Documentation Specialist is to assist the physician with the complete documentation of patients’ charts. Documentation Specialist accompany the physician as he/she examines and interviews patients and then records the physician’s observations and comments on either on paper or in an electronic medical record (EMR) depending on what the practice uses. Documentation Specialist will accompany physician on hospital rounds and consultations if required. All information is recorded in the presence of a physician, as dictated by the physician.

POSITION EDUCATION/QUALIFICATIONS

• High School graduate or equivalency is preferred.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.

JOB KNOWLEDGE/EXPERIENCE

• One (1) year experience in a hospital or physician office setting is preferred
• Previous experience as a medical scribe preferred
• Demonstrates proficiency in Microsoft Office applications
• Previous experience with an EMR system preferred
• Must have excellent customer service and organizational skills
• Requires reasoning ability and good independent judgment

Responsibilities

POSITION RESPONSIBILITIES

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Keep track of laboratory tests, medications, and radiology tests ordered by the physician
• Gather data for physician review (i.e., laboratory results, faxed radiology reports, medical records)
• Coordinate communication between physicians and staff, make and answer telephone calls
• Document any consultations the physician makes to a patient’s personal doctor, family members, on‑call physician, or other members of the medical community
• Take vital signs and room patients as needed
• Accompany provider to hospital to document consults or hospital rounds as needed
• Provide patients with updates about waits and delays
• Document all procedures done by the physician, as dictated by the physician
• Responsible for documenting all diagnoses, treatment plans, prescriptions, and discharge/follow‑up information for each patient
• Other duties as assigned

LINES OF RESPONSIBILITY

CUSTOMER SERVICE

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.