Clinical documentation specialist

Location: In-office, Hebbal, Bengaluru

Employment Type: Full-Time

Timings: Night Shift – U. S. Time Zone (7:30 PM–4:30 AM IST)

Salary - 5-8 LPA ( based on experience)

About Lenity Health

Lenity Health is a mission-driven healthcare organization focused on creating exceptional experiences for patients, providers, and care teams across the U. S. healthcare ecosystem.

We help physician practices and healthcare systems improve efficiency, care quality, and scalability by combining skilled healthcare professionals with intelligent technology. With teams in the United States and India, Lenity Health brings deep experience in clinical operations, value-based care, and health technology.

About the Role

The Clinical Documentation Specialist will support U. S.-based physicians with pre-charting, live medical scribing, clinical transcription, medical summarization, and post-visit documentation.

This is a hands-on role in a startup environment. We are looking for an experienced professional who is comfortable joining live consultations, accurately documenting physician-patient encounters, reviewing medical records, and adapting to evolving physician preferences and workflows.

Key Responsibilities

Review patient charts before appointments, including prior notes, lab results, imaging, referrals, consult notes, and pending follow-ups. Prepare concise pre-visit summaries for physicians. Join live physician-patient consultations remotely and document encounters accurately in real time. Create and update clinical notes in the EHR, including HPI, ROS, physical examination findings, assessment, and plan, as directed by the physician. Complete post-visit documentation and send notes to the physician for review and final authentication. Follow physician-specific templates, preferences, and practice workflows. Ensure all documentation is accurate, complete, well structured, and completed within expected turnaround times. Identify missing information, pending orders, incomplete documentation, or urgent follow-up items and escalate them appropriately. Maintain required scribe attestations and ensure HIPAA compliance, patient confidentiality, and data-security standards. Support related clinical documentation tasks, medical summarization, and workflow coordination as required. Help identify documentation gaps and suggest process improvements to improve provider productivity and chart quality. Participate in quality audits, training, feedback sessions, and workflow development.

Required Qualifications

Bachelor's or Master's degree in a medical or life-sciences field, including BDS, MBBS, BHMS, BAMS, Nursing, Pharmacy, Life Sciences, or equivalent. Minimum 3 years of experience in medical scribing, clinical documentation, medical transcription, or a related U. S. healthcare role. Prior experience supporting U. S.-based clinics or hospitals is required. Experience with Geriatric and internal medicine documentation is strongly preferred. Strong knowledge of medical terminology, clinical documentation, medical summarization, and SOAP-note formats. Familiarity with HPI, ROS, physical examination, assessment, plan, and clinical abbreviations. Experience with EHR/EMR systems such as e Clinical Works,advanced MD,practice fusion, Epic, Dr Chrono, or similar platforms. Excellent English listening, professional writing, grammar, and spelling skills. Ability to accurately document fast-paced live consultations. Strong ownership, attention to detail, adaptability, and comfort working in a startup environment with evolving workflows. Willingness to work from the office during U. S. night-shift hours.