Patient Documentation: Accurately and efficiently document patient medical histories, physical examinations, procedures, treatments, and other clinical encounters in the EHR system
Real-time Charting: Collaborate with healthcare providers during patient visits to capture information in real-time, ensuring timely and accurate record keeping
Medical Terminology: Utilize a strong understanding of medical terminology, abbreviations, and procedures to accurately document clinical information
Chart Review: Review and edit documentation to ensure completeness, clarity, and adherence to established guidelines and protocols
Coding Assistance: Assist with assigning appropriate medical codes for diagnoses, procedures, and treatments to support accurate billing and claims processing
Data Entry: Enter patient information, orders, prescriptions, and other relevant data into the EHR system, maintaining data accuracy and integrity