Clinical Documentation, Medical Practice Assistant

This is a fully remote position, open to applicants in South Africa.

📋 Description

• Assist a neurologist by ensuring precise and timely clinical documentation and managing medical records.

• Review, modify, and rectify physician notes as well as AI-generated medical documentation.

• Detect absent, inconsistent, duplicated, or erroneous information within medical records.

• Sustain accurate and well-organized patient information in the EHR system.

• Examine medical records and gather pertinent information for patient appointments and physician documentation.

• Oversee patient intake, scheduling, appointment coordination, and necessary follow-up.

• Engage professionally with patients, healthcare providers, attorneys, law firms, and other external entities.

• Prepare and manage referrals, medical records, and associated documentation.

• Dispatch authorized documentation to external parties and monitor any outstanding requests.

• Follow up on missing records, incomplete information, referrals, and administrative necessities.

• Utilize AI tools, EHR systems, Google Workspace, and various other digital platforms.

• Adhere to established templates, procedures, and physician-specific workflows.

• Resolve standard documentation and administrative challenges, escalating issues when clinical judgment is necessary.

• Uphold strict confidentiality and appropriately manage sensitive patient information.

⛳️ Requirements

• A minimum of 3 years of relevant healthcare experience is preferred, especially in medical scribing, clinical documentation, medical records, or related clinical support roles.

• A clinical background is highly preferred: foreign-trained physician, RN, Senior Medical Scribe, Clinical Documentation Specialist, or a similar profile.

• Strong understanding of medical terminology and clinical documentation practices.

• Prior experience with U.S. healthcare providers, EHR systems, and U.S. medical documentation is strongly preferred.

• Exceptional written English skills with the ability to produce accurate and professional medical documentation.

• Experience in reviewing, editing, and correcting clinical or medical notes.

• Capability to review and refine AI-generated medical documentation for accuracy, clarity, and completeness.

• Strong proficiency with AI tools and technology, alongside a quick learning curve for new systems.

• Familiarity with Google Workspace for effective communication and documentation.

• Excellent attention to detail and a very high standard of accuracy.

• Ability to consistently follow detailed procedures, templates, and workflows.

• Competence to independently identify and resolve routine documentation and administrative issues.

• Understanding of patient confidentiality and the proper management of sensitive medical information.

• Access to a reliable computer, high-speed internet, and a professional remote working environment.

• Availability to consistently work during Pacific Time business hours.

• Must be available to work two weekends each month.

• Must be comfortable working for 7 consecutive days twice a month.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and career advancement.

• Supportive and collaborative work environment.