medical summarization

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.

Required Skills:

medical summarizerepicdocumentationcernermedical terminologyhealthcareclinical documentationsummaries