Overview
Neogeriatrics, LLC is seeking an experienced, detail-oriented Medical Scribe / Clinical Documentation Specialist to support our Internal Medicine/Geriatrics physician and CNP's serving nursing homes, long-term care facilities, and assisted living communities throughout Northeast Ohio.
This position is primarily office-based and focuses on preparing patient documentation, transcribing physician-dictated notes, managing medical records, and coordinating communication with nursing facilities and billing staff. The ideal candidate has prior medical scribing experience, strong knowledge of medical terminology, and excellent documentation skills.
Responsibilities
- Prepare patient charts and clinical documentation prior to physician visits.
- Review and organize hospital records, discharge summaries, laboratory results, and diagnostic reports.
- Transcribe physician-dictated Progress Notes, History & Physical (H&P) Admissions, Consult Notes, and other clinical documentation into the Electronic Health Record (EHR).
- Accurately document diagnoses, assessments, treatment plans, and follow-up recommendations as directed by the physician.
- Upload and organize medical records, hospital documents, and supporting clinical information into the EHR.
- Assist with chart completion and ensure documentation is accurate, complete, and compliant.
- Communicate with nursing homes, assisted living facilities, hospitals, pharmacies, and physician offices regarding patient care and documentation needs.
- Coordinate with billing staff to ensure proper documentation supports coding and billing requirements.
- Track and follow up on missing records, laboratory reports, imaging results, and hospital documentation.
- Maintain patient confidentiality and HIPAA compliance at all times.
- Perform other administrative and clinical documentation duties as assigned.
Requirements
- Minimum 1 year of Medical Scribe experience.
- Clinical background preferred (CMA, RMA, LPN, RN, Medical Assistant, or equivalent healthcare experience).
- Strong knowledge of medical terminology, pharmacology, and disease processes.
- Excellent typing, transcription, and documentation skills.
- Experience using Electronic Health Records (EHR/EMR).
- Strong attention to detail and organizational skills.
- Ability to manage multiple priorities and meet documentation deadlines.
Pay: $20.00 - $28.00 per hour
Work Location: In person
