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Clinical Informatics Specialist
Career Insights for Clinical Documentation Specialist
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Scorecard
Based on Louisiana data
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What they do
A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.
$71,885 / year median in Louisiana
-1% projected decline
Job Description
Title:
- Medical Scribe
Company:
- Oak Street Health
Role Description:
- The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients.
MD/DO/PA/NP
program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.Responsibilities:
- + Documenting Patient Encounters ~ 80% + Joining the provider in the exam room to observe patient visits + Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam + Assigning appropriate CPT and ICD-10 codes + Preparing After Visit Summaries + Consulting with provider to ensure accurate and specific documentation + Clinical Documentation Improvement ~ 10% + Requesting and reviewing medical records + Leveraging Oak Street's population health tools to support clinical documentation improvement + Preparing for and supporting Daily Huddles and Clinical Documentation Reviews + Consulting with provider on clinical documentation opportunities + Administrative support for your provider and care team ~ 10% + Placing orders and referrals + Addressing tasks + Supporting the care team with additional responsibilities related to clinical documentation + Other duties as assigned •What we're looking for•Knowledge•+ Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] + Prior clinical experience, including shadowing and/or volunteering [strongly preferred] + Prior scribe or transcription experience [preferred but not required] •Skills•+ Advanced listening and communication skills [required] + Strong computer literacy and ability to learn new technical workflows [required] + Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated] •Abilities•+ Ability to adapt to new workflows and to quickly learn new concepts and skills [required] + Ability to type 70+ words per minute [strongly preferred] + Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required] + Ability to be a self-starter within your role scope + Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.
- Anticipated Weekly Hours
- 40 •Time Type•Full time •Pay Range•The typical pay range for this role is: $17.
- Great benefits for great people
- We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.