EHR-Driven Medical Documentation Specialist

Suvida Healthcare; Phoenix (AZ); On-site; USD 60,000 - 90,000; Full time

Job summary

Suvida Healthcare is seeking a Clinical Informatics Specialist to join the Care Team, focusing on accurate and efficient documentation of patient encounters in the EHR and ensuring compliant, high-quality records.

The CIS will document histories, exams, tests, and care plans in real time, coordinate with providers, support coding activities, and contribute to data quality, population health, and evidence-based improvements while upholding HIPAA privacy requirements.

Qualifications

• Minimum 2 years of clinical experience.
• Familiarity with medical terminology, anatomy, and physiology is a plus.
• Prior experience as a Medical Scribe is preferred, though not obligatory.
• Ability to efficiently use EHR systems.
• Strong typing skills and advanced computer proficiency.
• Effective written and verbal communication skills.
• Ability to thrive in a fast-paced clinical environment with accuracy.
• Strong organizational skills and time management.
• Willingness to move between Neighborhood Centers as needed.
• Proficiency in English and Spanish is required.

Responsibilities

• Accompany healthcare providers during patient visits and accurately document all relevant medical information in real-time.
• Navigate and proficiently utilize EHR systems to input and manage patient data with compliance and confidentiality.
• Regularly review and organize patient charts for completeness and accuracy.
• Serve as liaison between care team members for information exchange and follow-up instructions.
• Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services.
• Coordinate with coding team to resolve documentation queries.
• Prepare thorough research of historical charts to enhance morning huddle presentations.
• Oversee measurement, analysis, and reporting of healthcare quality metrics.
• Analyze population health data to improve patient stratification and enroll at-risk patients in chronic care programs.
• Stay updated on evidence-based protocols and provide revised data to the care team.
• Maintain patient privacy following HIPAA and related regulations.

Skills

Clinical experience

Medical terminology

Medical scribe

EHR proficiency

Typing skills

Communication

Adaptability

Organizational skills

Mobility

Bilingual English/Spanish

Education

Bachelor’s degree in healthcare-related field

Tools

EHR systems

Job description

Suvida Healthcare is seeking a Clinical Informatics Specialist to join the Care Team, focusing on accurate and efficient documentation of patient encounters in the EHR and ensuring compliant, high-quality records.

The CIS will document histories, exams, tests, and care plans in real time, coordinate with providers, support coding activities, and contribute to data quality, population health, and evidence-based improvements while upholding HIPAA privacy requirements.