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Medical Documentation Jobs (NOW HIRING)

Norco, Inc.

Documentation Specialist

Portland, OR · On-site

Having a strong knowledge of specific medical coverage and documentation guidelines for various ... commercial insurance plans for respiratory services, home medical equipment and supplies. * Review ...

Argentum Medical

Documentation Specialist

Largo, FL · On-site

$20/hr

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

BioDerm

Documentation Specialist

Largo, FL · On-site

$20/hr

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

LionStone Care

Medical Records

Madeira, OH · On-site

$18 - $22/hr

This role involves ensuring that all medical records are accurately documented, securely stored, and easily accessible to authorized personnel. The Medical Records Technician also ensures compliance ...

TeemaGroup

Corrections Medical Assitstant

Redgranite, WI · On-site

$19 - $20/hr

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 ...

AKUA BEHAVIORAL HEALTH INC

Medical Manager

Fair Oaks, CA · On-site

$80K - $90K/hr

Documentation: The Medical Manager is responsible for the program's medical documentation in the EMR (incl. physician notes, medication orders, med logs) for the program - whether directly imputed ...

AKUA BEHAVIORAL HEALTH INC

Medical Manager

Fair Oaks, CA · On-site

$80K - $90K/hr

Documentation: The Medical Manager is responsible for the program's medical documentation in the EMR (incl. physician notes, medication orders, med logs) for the program - whether directly imputed ...

Stony Brook Community Medical, PC

Medical Scribe

Setauket, NY · On-site

$17 - $23/hr

The primary responsibility of a medical scribe is documenting and charting medical data discussed during provider-patient encounters. The scribe follows the provider into patient rooms, and serves as ...

Akua Mental Health

Medical Manager

Fair Oaks, CA · On-site

$80K - $90K/yr

Documentation: The Medical Manager is responsible for the program's medical documentation in the EMR (incl. physician notes, medication orders, med logs) for the program - whether directly imputed ...

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Medical Documentation information

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How much do medical documentation jobs pay per hour?

As of Jul 25, 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:
What job categories do people searching Medical Documentation jobs look for? The top searched job categories for Medical Documentation jobs are:
Medical Documentation jobs near you
Infographic showing various Medical Documentation job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 26% Part Time, and 3% Contract. 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 Specialist

Medical Documentation Specialist

Pediatric Home Service

Roseville, MN

$18.43 - $20.27/hr

Other

Retirement, PTO

Posted 14 days ago

Pediatric Home Service rating

7.3

Company rating: 7.3 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

Job description

At Pediatric Home Service, we help medically complex kids live their best lives, at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team thats committed to putting children and families first.

  • Position: Medical Documentation Specialist
  • Location: Roseville, MN
  • Hours: Monday-Friday 8am-5pm (In office)

THE POSITION:

We are looking for a full time Medical Documentation Specialist to join our exceptional customer service team who is committed to helping our patients thrive. Our Customer Service department is a fast-paced, high-energy environment and youll find yourself challenged and required to use critical thinking every day through a variety of in-person, email and phone conversations. You will also be surrounded by a close-knit and supportive group who all have the same dedication to serving medically complex children and their families.

  • Ensures medical records are complete and accurate per regulatory and company standards
  • Input of medical records is completed in accordance with time standards
  • Audits records and prepares reports on inaccuracies
  • Confers with prescribers and other health personnel to assure complete, current, and accurate medical records
  • Researches records to locate health data as requested
  • Maintains and utilizes a variety of health record indexes and storage and retrieval systems
  • Operates computer to process, store, and retrieve health information
  • Assists in identification of medical records needed for research using both manual and computer indexes
  • Assists Customer Service Department in special studies or research
  • Presents an overview of medical records process to new staff
  • Prepares input for computerized medical information systems and for processing forms and documents
  • Processes Hospital Board to track patient admits to and discharges from the hospital
  • Updates patient records when notified of patient information changes
  • Maintains prescribers databases
  • Process approved release of information request
  • Other duties as assigned

THE QUALIFICATIONS:

  • Durable medical equipment (DME) intake/ admissions experience preferred
  • High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience
  • Knowledge of Database software; Spreadsheet software and Word Processing software
  • Exceptionally organized, multi-tasking, problem solving and communication and strong keyboard skills. A high level of initiative combined with a customer service mentality is also required.
  • Experience in Brightree EHR a plus!

THE COMPANY

Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are ages birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube.

SALARY RANGE:

At PHS, we are committed to providing specialized care for medically complex children. Every role, from direct patient care to customer support, plays a vital part in improving the lives of kids and families. The impact you make is invaluable. We are dedicated to offering fair and transparent compensation to our team members. The range for this role is $18.43 to $20.27 hourly, based on experience and qualifications.

BENEFITS:

  • Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
  • 401(k) Matching to help secure your future
  • Tuition Reimbursement to support your educational and professional growth
  • Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
  • A supportive and fulfilling work environment where your contributions directly impact childrens health and well-being

Interested candidates should apply online at http://www.phscareers.com.

We look forward to learning more about you and the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance. #DME123

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