Assists the medical provider in the documentation of care provided as observed under the direction of the medical provider. Administrative duties include documenting in current EHR, maintaining medical records, and document/transcribe dictated reports in an accurate and timely manner. Return reports in current EHR to the dictator for review and signature or correction. Medical documentation of a variety of medical reports, such as history and physicals, diagnostic imaging studies, daily progress notes, consultations, operations, and final summaries. Transcribe dictated reports and translate medical jargon and abbreviations into their expanded forms. Responsible for accurate and timely assignment of ICD10-CM codes as appropriate under the direction of the medical provider. Understands and assists with functions of the Health Information Management Department and GRHS rules and regulations.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED