Industry & Sector:
Healthcare services Clinical Documentation & Medical Records Management. We provide high-quality clinical summarization and medical record abstraction services to hospitals, life-science firms, and health-technology platforms supporting patient care continuity, regulatory submissions, and payer reviews.
Primary Title (standardized):
Medical Summary Specialist
Location & Workplace:
India On-site role (strict on-site presence)Role & Responsibilities
- Produce concise, accurate clinical summaries from inpatient and outpatient medical records, discharge notes, operative reports, and ancillary documentation within defined SLAs.
- Extract and structure key clinical elements diagnoses, problem timelines, medications, procedures, labs, imaging findings, and follow-up plans into standardized summary templates.
- Validate clinical facts against source records, reconcile discrepancies, and flag ambiguities for clinician clarification or escalation.
- Apply ICD-10/SNOMED conventions to ensure diagnostic and procedural alignment; coordinate with coding teams where required.
- Operate EHR platforms and transcription/NLP tools to accelerate summarization while maintaining quality and data security standards.
- Adhere to data privacy and compliance protocols (HIPAA/GDPR as applicable) and contribute to continuous improvement initiatives for summarization quality and throughput.
Skills & Qualifications
Must-Have
- Proven experience in medical summarization or clinical documentation review for hospitals, payers, or health-tech companies.
- Strong command of medical terminology and clinical workflows across specialties (medicine, surgery, ED, ICU).
- Familiarity with ICD-10 and SNOMED conventions for coding-aligned summaries.
- Hands-on experience with Electronic Health Record systems (EPIC, Cerner, or similar) and medical transcription tools.
- Knowledge of HIPAA and data protection practices for handling patient records.
- Ability to work accurately under SLA-driven workflows; experience with QA processes or documentation audits.
Preferred
- Certification in clinical coding or health information management (e.g., CCS, RHIA) or formal training in medical documentation.
- Experience using clinical NLP/AI-assisted summarization platforms and familiarity with structured data extraction.
- Previous on-site experience supporting US/EU-based clinical customers or regulatory submissions.
Benefits & Culture Highlights
- Collaborative, clinically-focused on-site team with structured training and QA support to ramp quickly.
- Clear career pathways into senior clinical documentation, coding, or quality roles within healthcare operations.
- Competitive compensation and benefits aligned to role and market standards.
To apply, highlight examples of past medical summaries or documentation audits and list EHR/tools you have used. We seek detail-oriented clinical documentation professionals who can deliver high-quality summaries that improve care continuity and downstream clinical workflows.
Skills: medical summarizer,epic,documentation,cerner,medical terminology,healthcare,clinical documentation,summaries
