35 Medical Documentation Jobs

Key Deliverables: Provide first aid and basic medical care to students and staff during school hours Monitor and document health conditions and maintain medical records Coordinate with parents and staff for administering prescribed medications Respond effectively to on-campus medical emergencies Role Responsibilities: Identify and address students medical needs with compassion Ensure compliance with school health policies and safety protocols Assist in routine health screenings and physical check-ups Work collaboratively with faculty and administrative staff

BVG India Ltd. is looking for Nurses (GNM) to join our dynamic team and embark on a rewarding career journey. Responsibilities : Assess and record patient symptoms, medical histories, and vital signs, and develop care plans based on this information. Administer medications, treatments, and diagnostic tests as prescribed by physicians and other healthcare professionals. Monitor and record patient progress, and adjust care plans as needed. Provide emotional support to patients and their families, and facilitate communication with other healthcare professionals. Ensure patient safety by following established protocols and safety procedures. Maintain accurate and up- to- date medical records and documentation. Requirements : Clinical experience in a healthcare setting, such as a hospital or clinic. Excellent communication and interpersonal skills, including the ability to work effectively with patients, families, and other healthcare professionals. Ability to work under pressure and in a fast- paced environment. Strong critical thinking and problem- solving skills. Familiarity with electronic health records and other healthcare technology systems.

BVG India Ltd. is looking for Nurses (GNM) to join our dynamic team and embark on a rewarding career journey. Responsibilities : Assess and record patient symptoms, medical histories, and vital signs, and develop care plans based on this information. Administer medications, treatments, and diagnostic tests as prescribed by physicians and other healthcare professionals. Monitor and record patient progress, and adjust care plans as needed. Provide emotional support to patients and their families, and facilitate communication with other healthcare professionals. Ensure patient safety by following established protocols and safety procedures. Maintain accurate and up- to- date medical records and documentation. Requirements : Clinical experience in a healthcare setting, such as a hospital or clinic. Excellent communication and interpersonal skills, including the ability to work effectively with patients, families, and other healthcare professionals. Ability to work under pressure and in a fast- paced environment. Strong critical thinking and problem- solving skills. Familiarity with electronic health records and other healthcare technology systems.

BVG India Ltd. is looking for Nurses (GNM) to join our dynamic team and embark on a rewarding career journey. Responsibilities : Assess and record patient symptoms, medical histories, and vital signs, and develop care plans based on this information. Administer medications, treatments, and diagnostic tests as prescribed by physicians and other healthcare professionals. Monitor and record patient progress, and adjust care plans as needed. Provide emotional support to patients and their families, and facilitate communication with other healthcare professionals. Ensure patient safety by following established protocols and safety procedures. Maintain accurate and up- to- date medical records and documentation. Requirements : Clinical experience in a healthcare setting, such as a hospital or clinic. Excellent communication and interpersonal skills, including the ability to work effectively with patients, families, and other healthcare professionals. Ability to work under pressure and in a fast- paced environment. Strong critical thinking and problem- solving skills. Familiarity with electronic health records and other healthcare technology systems.

Job Title: Medical Coding Professional Location: Mohali (Onsite) Training Period: 2-3 months (based on candidates performance) Job Summary: We are seeking Medical Coding Professionals to join our team. He/she would be responsible to assign accurate diagnoses, proofread medical notes, and ensure compliance with UK healthcare regulations. Full training will be provided. The role requires meeting daily productivity targets while maintaining high-quality documentation standards. The candidate will also be expected to clear regular audits, ensuring the accuracy and consistency of their work. Key Responsibilities: Assign precise diagnoses based on medical notes/letters from healthcare professionals. Proofread medical notes to ensure clarity and accuracy, identifying and correcting errors. Take appropriate action based on the content of medical letters. Collaborate with hospital staff to ensure effective healthcare management and communication. Maintain patient confidentiality in accordance with UK healthcare regulations. Meet daily productivity goals while upholding accuracy and quality standards. Successfully clear regular audits to ensure compliance and documentation accuracy. Qualifications: Fresh graduates with a degree in BAMS, BDS, BHMS, BUMS, B.Pharm, M.Pharm, BSc Nursing, Pharm D, or other relevant medical backgrounds. Experience in medical documentation or related fields is preferred, though training will be provided. Required Skills: Strong knowledge of symptoms, diagnoses, medical abbreviations, and medications. Typing proficiency (30-40 WPM) with excellent proofreading skills. Good communication skills for effective collaboration. Ability to meet daily targets while maintaining high accuracy. Attention to detail to ensure the successful clearance of audits.

To provide medical cover, routine and emergency, during hours of duty and work in conjunction with the other specialties to serve the institute. Follow all Clinical safety, hygiene, infection control protocols to be adhered to (e.g. wearing gloves when required, aprons, hand hygiene, etc). Should be willing and available to see patients when required or when requested. Should actively participate and contribute to in Classroom and bedside teaching programs for postgraduate students and RMOs. Should be in position to identify the complex health problems and report immediately to the concerned doctor. Required to supervise Post graduate students; however, the attending physician is ultimately responsible for the care of the patient. Supervise daily clinical management of all patients in conjunction with the PG students, nurse team leaders and under the guidance of Consultants. Should be able to prescribe pain management medicines if need be. Effective communication with patients, family, colleagues and other health care workers. Treatment orders are to be written in capital letters. Each treatment sheet should be dated, named and signed by the writing doctor. Doctors should refer to the progress notes while writing treatment sheets. Clinical Assistants/Associates/Associate Consultants are responsible to do Pre-Anaesthesia Check, induce Pediatric patients and monitor the patients during anaesthesia under supervision They can manage areas requiring moderate procedural sedation like Endoscopy department or sedation for restraint or pain management. They can perform procedures like Lumbar puncture, epidural catheter, central lines, arterial lines. They should be trained in PALS Are required to follow on-call and duty rota based on the department s requirement. To be part of the Quality Improvement Initiative and protocols of the organization

Were looking for candidates with ANM, GNM, or B.Sc. in Nursing. Please remember, having a Registration Certificate is crucial, and it must be registered with the Maharashtra Council. Certificates from Private Institutions or NGOs wont be considered. We have openings in Kalyan, Dombivali, Thane, Ulhasnagar, Navi Mumbai, Mira Bhayandar, and Nashik. Freshers Can Also Apply Location - Kalyan, Thane, Dombivali, Ulhasnagar, Navi Mumbai, Mirabhyandar

We are seeking a dedicated and skilled Senior Resident in Genecology to join our team. The ideal candidate will be responsible for providing high-quality medical care to patients, performing surgical procedures, and contributing to the education of junior staff. This position is suitable for candidates with 0-1 years of experience in the field. Responsibilities Conduct thorough examinations and assessments of patients with gynecological issues. Perform surgical procedures related to gynecology as needed. Participate in outpatient clinics and manage patient follow-ups. Assist in teaching junior residents and medical students. Collaborate with multidisciplinary teams for comprehensive patient care. Stay updated with the latest advancements in gynecology and contribute to research initiatives. Skills and Qualifications Master of Surgery (MS) or Diplomate of National Board (DNB) in Obstetrics and Gynecology. Strong clinical skills in gynecology and obstetrics. Ability to perform various gynecological surgeries and procedures. Excellent communication and interpersonal skills. Strong analytical and problem-solving abilities. Knowledge of current medical practices and technologies in gynecology.

We are seeking a skilled Consultant General Physician to join our healthcare team. The ideal candidate will have a strong background in general medicine and will be responsible for providing comprehensive patient care, including diagnosis, treatment, and follow-up. This role requires a commitment to excellence in patient care and the ability to work collaboratively within a multidisciplinary team. Responsibilities Conduct thorough physical examinations and assess patient health. Diagnose a variety of medical conditions and provide appropriate treatment plans. Perform routine check-ups and preventive health screenings. Order and interpret diagnostic tests and procedures. Maintain accurate and detailed patient records. Advise patients on health maintenance and disease prevention. Collaborate with other healthcare professionals to provide comprehensive care. Stay updated with the latest medical research and advancements. Skills and Qualifications MD or DNB in General Medicine from a recognized institution. 1-4 years of experience in a clinical setting. Strong clinical assessment and diagnostic skills. Excellent communication and interpersonal skills. Ability to work effectively in a team-oriented environment. Familiarity with electronic medical records (EMR) systems. Compassionate patient care and strong ethical standards. Current medical license to practice in India.

We are seeking a Consultant Pulmonary to join our healthcare team in India. The ideal candidate will have 0-5 years of experience in pulmonary medicine and will be responsible for diagnosing and treating patients with respiratory conditions, ensuring high-quality patient care. Responsibilities Conduct thorough assessments of patients with respiratory issues. Develop and implement treatment plans for pulmonary diseases. Perform diagnostic procedures such as bronchoscopy and pulmonary function tests. Collaborate with other healthcare professionals to ensure comprehensive patient care. Educate patients and their families about respiratory conditions and treatment options. Stay updated on the latest research and advancements in pulmonary medicine. Skills and Qualifications MBBS degree from a recognized institution. MD in Pulmonary Medicine or equivalent. Strong understanding of respiratory diseases and treatments. Experience with diagnostic procedures related to pulmonary care. Excellent communication and interpersonal skills. Ability to work collaboratively in a multidisciplinary team.

We are seeking a Consultant General Medicine to join our healthcare team in India. The ideal candidate will be responsible for providing high-quality medical care to patients, including diagnosing and treating a variety of health conditions. This role requires a compassionate approach and a commitment to patient well-being. Responsibilities Conduct thorough medical assessments and diagnose patients conditions. Create and implement effective treatment plans for patients. Monitor patient progress and adjust treatments as necessary. Collaborate with other healthcare professionals to provide comprehensive care. Educate patients about their conditions and preventative measures. Document patient history and treatment plans accurately. Skills and Qualifications MBBS degree from a recognized medical institution. Registration with the Medical Council of India (MCI). Strong clinical assessment and diagnostic skills. Excellent communication and interpersonal skills. Ability to work collaboratively in a multidisciplinary team. Proficiency in using electronic health records and medical software.

Examining and diagnosing patients, and determining appropriate treatment plans Prescribing medications and therapies, and monitoring patient progress Ordering and interpreting diagnostic tests and medical images Providing first aid and stabilizing patients in emergency situations Documenting patient histories, diagnoses, treatments, and progress in medical records Collaborating with other healthcare professionals, such as specialists and nurses, to provide comprehensive care to patients Ensuring that patient confidentiality and privacy are maintained at all times

Provide specialized care in women's reproductive health and maternity services Diagnose, treat, and monitor obstetric and gynecological conditions Collaborate with multidisciplinary teams for holistic patient care Maintain patient records and support educational outreach activities

Assist in surgeries and post-operative patient care Conduct rounds and manage emergency procedures Collaborate with surgeons in clinical research Maintain patient records and ensure medical accuracy The candidate should have above mentioned skills.

ASTER DM HEALTHCARE LIMITED is looking for Registrar.Orthopedic to join our dynamic team and embark on a rewarding career journey. A Registrar is responsible for managing student records and overseeing enrollment processes at an educational institution They ensure the accuracy and completeness of student records, and provide support to students, faculty, and staff regarding enrollment and record-keeping Here is a detailed job description for a Registrar:Job duties and responsibilities: Oversee enrollment processes, including course registration, add/drop periods, and student scheduling Maintain accurate and up-to-date student records, including transcripts, enrollment verifications, and degree audits Respond to requests for student records from internal and external sources Collaborate with academic departments to ensure course offerings and scheduling meet institutional standards Administer and interpret institutional policies related to enrollment and student records Requirements: Strong organizational and record-keeping skills Excellent customer service and interpersonal skills Proficiency in Microsoft Office Ability to analyze and interpret data Excellent written and verbal communication skills

Assess patients nutritional needs and develop personalized diet plans Provide nutritional counseling and education to patients and their families Monitor and evaluate patients progress and make adjustments to diet plans as needed Collaborate with healthcare providers to develop comprehensive care plans Conduct research and stay updated on the latest developments in nutrition and dietetics Develop and implement nutrition education programs for the community Maintain accurate records of patient assessments and interventions

The ideal candidate will be experienced in a broad range of surgical procedures and possess excellent diagnostic and patient care skills The General Surgeon will be responsible for assessing and treating patients, collaborating with multidisciplinary teams, and providing surgical interventions with a commitment to delivering high-quality healthcare Responsibilities: Patient Care :Conduct comprehensive patient consultations, examinations, and assessments Develop and implement appropriate treatment plans, including surgical interventions when necessary Surgical Procedures: Perform a variety of general surgical procedures, including but not limited to appendectomies, cholecystectomies, hernia repairs, and bowel surgeries Utilize advanced surgical techniques and stay abreast of the latest developments in the field Diagnostic Expertise: Order and interpret diagnostic tests, such as imaging studies and laboratory tests Collaborate with radiologists and other specialists to obtain accurate and timely diagnostic information Multidisciplinary Collaboration: Work closely with other healthcare professionals, including anesthesiologists, nurses, and specialists, to ensure comprehensive patient care Participate in multidisciplinary meetings to discuss complex cases and treatment plans Patient Education: Educate patients and their families on surgical procedures, potential risks, and postoperative care Provide information to help patients make informed decisions about their treatment Record Keeping: Maintain detailed and accurate medical records, including patient histories, examination findings, and treatment plans Ensure compliance with legal and regulatory requirements

The ideal candidate will be experienced in a broad range of surgical procedures and possess excellent diagnostic and patient care skills The General Surgeon will be responsible for assessing and treating patients, collaborating with multidisciplinary teams, and providing surgical interventions with a commitment to delivering high-quality healthcare Responsibilities : Patient Care: Conduct comprehensive patient consultations, examinations, and assessments Develop and implement appropriate treatment plans, including surgical interventions when necessary Surgical Procedures: Perform a variety of general surgical procedures, including but not limited to appendectomies, cholecystectomies, hernia repairs, and bowel surgeries Utilize advanced surgical techniques and stay abreast of the latest developments in the field Diagnostic Expertise: Order and interpret diagnostic tests, such as imaging studies and laboratory tests Collaborate with radiologists and other specialists to obtain accurate and timely diagnostic information Multidisciplinary Collaboration:Work closely with other healthcare professionals, including anesthesiologists, nurses, and specialists, to ensure comprehensive patient care Participate in multidisciplinary meetings to discuss complex cases and treatment plans Patient Education: Educate patients and their families on surgical procedures, potential risks, and postoperative care Provide information to help patients make informed decisions about their treatment Record Keeping :Maintain detailed and accurate medical records, including patient histories, examination findings, and treatment plans Ensure compliance with legal and regulatory requirements

Critical Patient Care : Provide expert medical care to critically ill pediatric patients in the Pediatric Intensive Care Unit. Postoperative Care : Manage postoperative pediatric patients, coordinating with surgical teams for optimal recovery and addressing complications. Multidisciplinary Collaboration : Collaborate with pediatricians, surgeons, nurses, and other healthcare professionals to coordinate comprehensive and specialized care for pediatric patients. Monitoring and Assessment : Monitor and assess the condition of critically ill pediatric patients, adjusting treatment plans as needed. Ventilator Management : Manage mechanical ventilation for pediatric patients requiring respiratory support. Invasive Procedures : Perform or assist with invasive procedures such as central line placements, intubation, and arterial catheterizations. Medication Management : Prescribe and manage medications for pediatric patients, ensuring appropriate dosages and monitoring for potential side effects. Family Communication : Communicate with parents and guardians, providing updates on patient status, prognosis, and care plans. Documentation : Maintain accurate and up - to - date medical records, documenting patient assessments, interventions, and outcomes. Quality Improvement : Participate in quality improvement initiatives within the PICU, ensuring adherence to best practices and standards. Emergency Response : Respond to pediatric emergencies within the PICU, providing immediate and effective medical care.

Provide medical care to patients in emergency situations Assess and diagnose patients conditions and develop treatment plans Administer medications and perform procedures as needed Collaborate with healthcare providers to ensure comprehensive patient care Maintain accurate records of patient assessments and treatments Follow protocols and guidelines for infection control and patient safety Stay updated on the latest developments in emergency medicine

Coordinating with physicians and other healthcare professionals for creating and evaluating customized care plans In order to provide emotional and psychological support to the patients and their families, RNs create a harmonious environment Diagnosing the disease by analyzing the patient's symptoms and taking required actions for his/her recovery Maintaining reports of patient's medical histories, and monitoring changes in their condition Carrying out the requisite treatments and medications

vAssisting in the assessment, diagnosis, and treatment of patients with respiratory conditions. Administering oxygen therapy, nebulizers, and other respiratory treatments as prescribed by physicians. Conducting chest physiotherapy and other respiratory interventions to improve lung function. Monitoring patients respiratory status and providing appropriate interventions as needed. Documenting patient care activities and maintaining accurate medical records. Participating in patient and family education programs to promote understanding of respiratory care and management. Collaborating with other healthcare professionals such as physicians, nurses, and respiratory therapists to provide comprehensive care to patients. Ensuring compliance with regulatory requirements and hospital policies.

Assisting in the assessment, diagnosis, and treatment of patients with respiratory conditions. Administering oxygen therapy, nebulizers, and other respiratory treatments as prescribed by physicians. Conducting chest physiotherapy and other respiratory interventions to improve lung function. Monitoring patients respiratory status and providing appropriate interventions as needed. Documenting patient care activities and maintaining accurate medical records. Participating in patient and family education programs to promote understanding of respiratory care and management. Collaborating with other healthcare professionals such as physicians, nurses, and respiratory therapists to provide comprehensive care to patients. Ensuring compliance with regulatory requirements and hospital policies.

Preparing the Cathlab: Set up the cath lab with necessary equipment, supplies, and medications before cardiac procedures. Assisting Cardiologists: Assist cardiologists and medical staff during diagnostic and interventional cardiac procedures, such as angiograms, angioplasty, stent placements, and electrophysiology studies. Operating Equipment: Operate and troubleshoot specialized cath lab equipment, including X-ray machines, catheters, and imaging systems. Patient Monitoring: Monitor patients vital signs, heart rhythms, and overall condition during procedures, reporting any changes to the medical team. Maintaining Sterile Environment: Ensure the cath lab remains sterile and adheres to infection control protocols. Radiation Safety: Implement radiation safety measures for patients, staff, and yourself while using X-ray equipment. Post-Procedure Care: Assist in post-procedure patient care, including transferring patients to recovery areas and monitoring their recovery process. Equipment Maintenance: Maintain and calibrate cath lab equipment regularly to ensure accurate and safe operation. Documentation: Record patient information, procedure details, and any complications during or after the procedure accurately. Continuous Learning: Stay updated with advancements in cathlab technology and cardiology procedures through training and professional development opportunities.

Preparing the Cathlab: Set up the cath lab with necessary equipment, supplies, and medications before cardiac procedures. Assisting Cardiologists: Assist cardiologists and medical staff during diagnostic and interventional cardiac procedures, such as angiograms, angioplasty, stent placements, and electrophysiology studies. Operating Equipment: Operate and troubleshoot specialized cath lab equipment, including X-ray machines, catheters, and imaging systems. Patient Monitoring: Monitor patients vital signs, heart rhythms, and overall condition during procedures, reporting any changes to the medical team. Maintaining Sterile Environment: Ensure the cath lab remains sterile and adheres to infection control protocols. Radiation Safety: Implement radiation safety measures for patients, staff, and yourself while using X-ray equipment. Post-Procedure Care: Assist in post-procedure patient care, including transferring patients to recovery areas and monitoring their recovery process. Equipment Maintenance: Maintain and calibrate cath lab equipment regularly to ensure accurate and safe operation. Documentation: Record patient information, procedure details, and any complications during or after the procedure accurately. Continuous Learning: Stay updated with advancements in cathlab technology and cardiology procedures through training and professional development opportunities.