Medical Documentation Specialist

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.

Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”

Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.

The future of healthcare is being built right now. Come deliver this transformation.

About the Role

The Medical Documentation Specialist (MDS) is responsible for delivering accurate, timely, and comprehensive clinical documentation that supports healthcare professionals in providing high-quality patient care. Working as an extension of the healthcare professionals, the MDS documents patient encounters within Electronic Health Record (EHR) systems while ensuring compliance with organizational quality standards, provider preferences, and applicable healthcare regulations.
Medical Documentation Specialists leverage Commure's ambient AI technology and documentation workflows to reduce providers' administrative burden, enabling providers to spend more time focusing on patient care. The role requires a strong understanding of clinical documentation, healthcare technology, medical terminology, and provider workflows while maintaining the highest standards of quality, confidentiality, and operational excellence.

Role Purpose

The Medical Documentation Specialist is accountable for:

• Delivering accurate, complete, and timely clinical documentation that reflects healthcare professionals’ intent.

• Supporting providers by reducing documentation burden and improving workflow efficiency.

• Maintaining high standards of documentation quality, compliance, and confidentiality.

• Adhering to clinician-specific documentation preferences and specialty workflows.

• Contributing to operational excellence and continuous improvement within Ambient Operations.

Key Responsibilities

Clinical Documentation

• Accurately document patient encounters within Electronic Health Record (EHR) systems.

• Capture patient history, review of systems, physical examination findings, assessments, diagnoses, treatment plans, procedures, medications, and other clinically relevant information.

• Ensure documentation accurately reflects the clinician’s observations, clinical assessments, and medical decision-making.

• Review completed documentation for completeness, consistency, and accuracy prior to submission.

• Complete documentation within established turnaround time and productivity expectations.

Clinician Support

• Provide documentation support for clinicians across multiple specialties including, but not limited to:

  • Primary Care

  • Internal Medicine

  • Oncology

  • Orthopedics

  • Rheumatology

  • Other specialties as assigned.

• Develop an understanding of clinician-specific workflows and documentation preferences.

• Adapt documentation style and workflow to individual clinician requirements.

• Communicate professionally and effectively while supporting providers and collaborating with internal stakeholders.

Documentation Quality

• Produce documentation that meets established organizational quality standards and clinician expectations.

• Apply specialty/provider-specific documentation guidelines and best practices.

• Identify documentation inconsistencies and seek clarification through appropriate channels when required.

• Incorporate feedback from quality reviews, coaching sessions, and audits into daily practice.

• Participate in quality improvement initiatives and calibration activities.

Technology & Workflow Management

• Utilize Electronic Health Record (EHR) systems and documentation platforms effectively.

• Demonstrate proficiency in Ambient AI documentation technology and associated workflow tools.

• Navigate multiple systems while maintaining productivity, accuracy, and quality.

• Follow established operational workflows, standard operating procedures, and documentation processes.

• Escalate workflow, technology, or system-related issues through appropriate channels.

Compliance & Information Security

• Maintain compliance with HIPAA and all applicable patient privacy, confidentiality, and information security requirements.

• Protect Protected Health Information (PHI) in accordance with organizational policies.

• Adhere to Commure's compliance, security, and documentation standards.

• Complete mandatory compliance and security training within required timelines.

Continuous Learning & Professional Development

• Successfully complete onboarding and ongoing training programs.

• Continuously develop knowledge of medical terminology, specialty-specific documentation, healthcare workflows, and emerging technologies.

• Stay current with documentation standards, organizational processes, and workflow enhancements.

• Demonstrate commitment to continuous learning and professional growth.

Collaboration

• Collaborate effectively with Operations, Quality, Training, Product, and other cross-functional teams.

• Participate in coaching sessions, quality calibrations, workflow reviews, and operational improvement initiatives.

• Escalate documentation, workflow, clinician, or operational concerns through appropriate channels.

• Support initiatives that improve documentation quality, clinician satisfaction, and operational efficiency.

Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com. Any emails from other domains are not affiliated with our organization.

Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.