Medical Scribe/Clinical Documentation Special at Agape Network Inc

Miami, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Aug, 26

Salary

18.0

Posted On

22 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Scribing, Clinical Documentation, Electronic Health Records, HIPAA Compliance, Behavioral Health Terminology, Psychiatric Diagnoses, ICD-10, Typing, Proofreading, Time Management, Professional Communication, Spanish Bilingualism

Industry

Non-profit Organizations

Description

POSITION: MEDICAL SCRIBE / CLINICAL DOCUMENTATION SPECIALIST REPORT TO: ASSOCIATE MEDICAL DIRECTOR Position Summary The Medical Scribe/Clinical Documentation Specialist supports behavioral health providers by accurately documenting patient encounters, maintaining clinical records, and ensuring timely completion of documentation in compliance with organizational, state, and federal guidelines. This role improves provider efficiency and supports quality patient care in a nonprofit community mental health setting. Essential Duties and Responsibilities * Accurately enter histories, assessments, treatment plans, diagnoses, and progress notes into the electronic health record (EHR). * Review documentation for accuracy, completeness, and compliance with HIPAA and agency standards. * Track unsigned notes, missing documentation, and authorization requirements. * Maintain confidentiality of all individuals served and organizational information. * Communicate professionally with psychiatrists, therapists, case managers, nurses, and administrative staff. * Participate in staff meetings, training, and quality improvement activities. * Ensure documentation meets Medicaid, Medicare, and accreditation standards. Qualifications * High school diploma or GED required; associate or bachelor’s degree preferred. * Experience in medical scribing, behavioral health, medical records, or clinical documentation preferred. * Knowledge of behavioral health terminology, psychiatric diagnoses, and treatment documentation preferred. * Familiarity with EHR systems such as Epic, Credible, eClinicalWorks, or similar platforms. * Strong typing, grammar, proofreading, and organizational skills. * Ability to work in a fast-paced clinical environment while maintaining accuracy and professionalism. * Bilingual English/Spanish preferred in Miami-Dade settings. Preferred Skills * Understanding of HIPAA regulations and patient confidentiality. * Knowledge of ICD-10 and behavioral health documentation standards. * Strong attention to detail and time management. * Ability to maintain professional communication with diverse populations. Work Environment * Office and clinical behavioral health setting. * May involve sitting for extended periods and extensive computer use. * Hybrid or in-person schedules may be available depending on organizational needs. Equal Opportunity Statement Agape Network Inc. is an Equal Opportunity Employer committed to creating an inclusive and diverse workplace.

Responsibilities

The role involves accurately documenting patient encounters, histories, and treatment plans into the EHR for behavioral health providers. It also requires tracking unsigned notes and ensuring all documentation meets regulatory and accreditation standards.