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Medical Documentation Jobs (NOW HIRING)

The Documentation Coordinator 1 will be a point of contact for Care Coordinators members for ... Develops and maintains knowledge in Medical Supplies and/or Insurance Guidelines * Ability to ...

Experience working with physician offices , medical documentation, or regulated environments * Familiarity with compliance-driven processes or audit requirements * Experience in roles requiring high ...

Document and report any anomalies or safety concerns in the clinic environment. Experience/Qualifications * Accurate medical documentation and timely entry of patient records. * Maintain HIPAA ...

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Medical Coder

Tracy, CA ยท Remote

$19.25 - $25.50/hr

Review medical documentation to ensure coding compliance with regulatory and organizational guidelines. * Collaborate with healthcare providers and coding auditors to resolve coding discrepancies or ...

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Medical Documentation information

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How much do medical documentation jobs pay per hour?

As of Jul 4, 2026, the average hourly pay for medical documentation in the United States is $35.98, according to ZipRecruiter salary data. Most workers in this role earn between $24.04 and $50.00 per hour, depending on experience, location, and employer.

What is a Medical Documentation job?

A Medical Documentation job involves creating, managing, and maintaining patient healthcare records. Professionals in this field ensure accuracy, completeness, and compliance with legal and medical standards. They may transcribe physician notes, update electronic health records (EHR), and organize patient information for insurance and billing purposes. Strong attention to detail, knowledge of medical terminology, and familiarity with healthcare regulations are essential for this role.

How do you get a job in medical records?

To get a job in medical records, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or certification in health information management. Relevant skills include attention to detail, knowledge of electronic health record (EHR) systems, and understanding of healthcare privacy regulations like HIPAA. Gaining experience through internships or entry-level positions can also improve job prospects.

What are the key skills and qualifications needed to thrive in the Medical Documentation position, and why are they important?

To succeed in Medical Documentation, strong attention to detail, excellent written communication skills, and knowledge of medical terminology are essential, often supported by a relevant degree or coursework. Familiarity with electronic health record (EHR) systems, transcription software, and industry standards such as HIPAA compliance is important. Superior organizational skills, time management, and the ability to maintain confidentiality help professionals excel in this field. These skills are vital for ensuring accuracy, maintaining data integrity, and supporting efficient patient care processes.

Is clinical documentation a good career?

Medical documentation, including clinical documentation specialists, is a growing field that offers stable employment opportunities in healthcare. It requires strong attention to detail, knowledge of medical terminology, and often certification, making it a viable career for those interested in healthcare and administrative work.

How to become a medical documentation specialist?

To become a medical documentation specialist, individuals typically need a high school diploma or equivalent, followed by postsecondary education such as a certificate or associate degree in health information technology or medical coding. Certification from organizations like the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) can enhance job prospects. Strong attention to detail, knowledge of medical terminology, and proficiency with electronic health record systems are essential skills in this role.

What are some typical challenges faced by professionals in Medical Documentation roles?

Professionals in Medical Documentation often face challenges such as staying current with evolving medical terminology, managing large volumes of patient records efficiently, and ensuring accuracy while working under tight deadlines. They may also encounter difficulties navigating various electronic health record (EHR) systems and adhering to strict confidentiality and compliance requirements. Overcoming these challenges requires strong organizational skills, adaptability, and diligent attention to detail. Successful medical documentation specialists play a critical role in supporting patient care and enabling smooth clinical workflows.

What does a medical documentation specialist do?

A medical documentation specialist reviews, organizes, and maintains accurate patient records and clinical documentation. They ensure compliance with healthcare regulations, often using electronic health record (EHR) systems, and may assist with coding and billing processes to support healthcare providers' documentation needs.
More about Medical Documentation jobs
What cities are hiring for Medical Documentation jobs? Cities with the most Medical Documentation job openings:
What are the most commonly searched types of Medical Documentation jobs? The most popular types of Medical Documentation jobs are:
What states have the most Medical Documentation jobs? States with the most job openings for Medical Documentation jobs include:
Infographic showing various Medical Documentation job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 49% Full Time, 32% Part Time, 1% Temporary, 15% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $74,847 per year, or $36 per hour.

Medical Documentation & Customer Service Specialist

Medical Services Company

Lewis Center, OH โ€ข On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Job description

Join Our Team!

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13-time recipient of the NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success!

We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!

Competitive Pay

Advancement Opportunities

Medical, Dental & Vision Insurance

HSA Account w/Company Contribution

Pet Insurance

Company provided Life and AD&D insurance

Short-Term and Long-Term Disability

Tuition Reimbursement Program

Employee Assistance Program (EAP)

Employee Referral Bonus Program

Social Recognition Program

Employee Engagement Opportunities

CALM App

401k (with a matching program) / Roth IRA

Company Discounts

Payactiv/On-Demand Pay

Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays

Role Overview

The Qualifications Analyst is responsible for reviewing, validating, and approving medical documentation to determine whether orders meet clinical, regulatory, and payer-specific requirements. Specialists ensure that all documentation collected during intake is accurate, complete, and compliant before orders move to fulfillment or billing. This role requires deep understanding of documentation standards, clinical indicators, and payer policies, and relies on digital tools to review structured and unstructured medical documentation efficiently. Reports To: Manager, Qualifications

Responsibilities and Job Duties

Documentation Review & Qualification Decisioning

  • Review medical documentation (prescriptions, clinical notes, CMNs, testing, and other supporting records) to determine whether orders meet qualification criteria.
  • Validate that required clinical data, signatures, dates, and supporting evidence are complete and compliant.
  • Identify missing documentation or discrepancies and route items for correction or follow-up.

Data Validation & Quality Assurance

  • Confirm that order details, demographic information, product classification, and supporting materials match documentation.
  • Identify trends or recurring issues that require escalation or workflow improvements.

Workflow & Productivity Management

  • Manage assigned digital work queues to maintain expected turnaround times.
  • Prioritize urgent needs based on patient condition, program requirements, or delivery urgency.
Job Qualifications & Requirements
  • 1โ€“4 years of healthcare documentation, payer review, intake, billing, or clinical operations experience.
  • Strong understanding of clinical documentation, qualification rules, and payer policies.
  • High attention to detail and ability to interpret medical records.
  • Comfort working in digital workflow systems and reviewing system-suggested information.