Medical Documentation jobs

Intelehealth is an international non-profit committed to improving access to primary health care in underserved regions of the world through its innovative technology platform. Intelehealth can be used by health organizations to set up high quality primary health care programs connecting patients in remote and rural communities to doctors.

We believe work should be meaningful as well as enriching. At Intelehealth, we’re taking on one of the world’s biggest development’s challenge - solving the health access gap for last mile populations. We believe in creating and maintaining an organizational culture of innovation which is conducive for the incredible people who work with us.

This is a remote position.

The Speciality Medical Consultant/ Doctor will provide safe, patient-centered primary healthcare consultations through the telemedicine pathway. The physician will assess patient concerns, provide clinical advice, prescribe treatment when appropriate, identify red flags, and facilitate referrals to appropriate super-specialists or referral healthcare facilities.

Key Responsibilities

1. Teleconsultation

• Conduct Teleconsultations through the NAS pathway.
  
  

• Review patient symptoms, medical history, consulting primary physician’s notes, and available clinical information before or during consultation.
  
  

• Assess patients appropriately within the scope and limitations of telemedicine.
  
  

• Communicate clearly and empathetically with patients and doctors.
  
  

• Ask relevant clinical questions and provide appropriate medical advice.
  
  

• Maintain professional standards throughout every consultation.
  
  

2. Clinical Assessment & Management

• Diagnose and advise on the referred medical conditions within the physician's scope of practice.
  
  

• Review available vital signs, reports, images, and other relevant information shared by the patient, health workers and consulting primary care physicians.
  
  

• Prescribe medicines, investigations, or other treatment when clinically appropriate and legally permissible.
  
  

• Provide clear instructions regarding medication, dosage, duration, precautions/advice, and follow-up.
  
  

• Educate patients regarding preventive healthcare and healthy practices.
  
  

3. Identification of Red Flags & Emergency Escalation

• Identify symptoms requiring urgent or emergency medical attention.
  
  

• Immediately advise appropriate emergency care or hospital referral when required.
  
  

• Ensure patients understand when and where to seek further care.
  
  

• Avoid managing cases remotely when an in-person examination is clinically necessary.
  
  

4. Referral & Specialist Coordination

• Refer patients to appropriate specialists based on clinical assessment.
  
  

• Provide appropriate referral advice and follow-up recommendations.
  
  

5. Clinical Documentation

• Maintain accurate and complete electronic consultation records.
  
  

• Document presenting complaints, relevant history, assessment, diagnosis, treatment/advice, investigations, referrals, and follow-up.
  
  

• Ensure prescriptions and clinical notes are complete and legible.
  
  

• Maintain patient confidentiality and comply with applicable data-protection requirements.
  
  

6. Patient Follow-up

• Recommend appropriate follow-up timelines.
  
  

• Review follow-up cases when assigned.
  
  

• Monitor patients requiring continued care or referral.
  
  

• Escalate cases where the patient's condition is worsening or additional clinical evaluation is required.
  
  

Quality & Compliance Responsibilities

• Follow NAS clinical protocols, SOPs, and telemedicine guidelines.
  
  

• Practice within the physician's professional scope and applicable regulatory requirements.
  
  

• Maintain patient privacy and confidentiality.
  
  

• Follow appropriate prescription and documentation standards.
  
  

• Participate in clinical audits, quality reviews, and case discussions.
  
  

• Report clinical, technical, or patient-safety incidents through the defined escalation mechanism.
  
  

• Support continuous improvement of the WhatsApp consultation pathway.
  
  

Requirements

Educational Qualifications

• MBBS + MD / DNB/ Fellowship from a recognized medical institution.
  
• Additional certifications/ fellowships/ qualifications in the respective speciality.
  
• Valid medical registration with the applicable medical council/authority.
  

Experience

• 1-5 years of experience in Speciality Practice / Residency preferred.
  
• Previous experience in Telemedicine & digital healthcare will be an advantage.
  
• Experience handling patients through digital healthcare platforms is preferred.
  

Required Competencies

• Strong clinical assessment and decision-making skills.
  
• Excellent typing and verbal communication.
  
• Ability to communicate medical information in simple, patient-friendly language.
  
• Good digital literacy.
  
• Strong documentation skills.
  
• Patient-centered approach.
  
• Ability to recognize clinical red flags.
  
• Strong referral and escalation judgment.
  
• Professionalism, empathy, and confidentiality.
  
Excellent command on Spoken Marathi.
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Benefits

• Remote working
  
• Flexible working hours
  
• Great work culture