Clinic Scribe

Proliance Surgeons•Bellingham, WA

4d•$17 - $24

About The Position

The Medical Scribe supports physicians by accurately and efficiently documenting patient encounters and procedures, assisting with patient care as directed, and maintaining complete, accurate medical records. The role is at the provider’s side 2–3 days per week and involves AI scribe review and cleanup 2–3 days per week. The role may transition to AI scribe cleanup and review at a computer five days per week. The position works Monday through Friday, 8 a.m. to 5 p.m. Responsibilities also include supporting billing accuracy and coding, helping patients move through the clinic when needed, and assisting with phone triage, prescription refills, and lab requisitions. The work environment and physical demands are described as representative of those needed to perform the essential functions; reasonable accommodations may be made.

Requirements

High school diploma or equivalent.
At least one year of experience in a medical office.
Current or recent knowledge of ICD-10-CM and CPT coding.
Excellent knowledge of medical terminology, including spelling, vocabulary, and common abbreviations used by the designated physician center.
Ability to properly code and report medical record data according to CMS guidelines.
Strong keyboard and computer skills and working knowledge of MS Word.
Superior customer service skills.
Strong interpersonal skills, including patience, composure, cooperation, and the ability to work well with patients, physicians, and staff.
Understanding of and adherence to safety, risk management, and precautionary procedures, including consistent respect for HIPAA confidentiality.
Efficient use of time with meticulous attention to detail, accuracy, and completion.
Resourcefulness in troubleshooting first-level problems, persistence in resolving issues, and judgment about when to involve others.
Demonstrated ability to work in a high-volume, fast-paced environment.
Ability to remain objective and separate oneself personally from situations.
Ability to adapt to change, delays, or unexpected events while maintaining a positive mindset.
Clear oral and written communication.
Ability to provide feedback to improve performance.
Self-motivated ability to work independently, meet a standard of excellence, and overcome obstacles with little to no supervision.

Nice To Haves

Experience and/or certification as a medical assistant is strongly preferred.

Responsibilities

Accurately and thoroughly document medical visits and procedures as the physician performs them, remaining beside the physician during each patient exam.
Provide patient-care assistance as requested, set up procedures as directed, and answer calls to the exam room and discreetly relay complete caller information to the provider.
Obtain accurate chief complaints and consistently document the three constitutional exam elements.
Anticipate and accommodate individual physician preferences and protocols.
Navigate system software to find necessary patient information.
Ensure patient history forms are complete, including documenting “no” answers to normal findings.
Review and modify the HPI and include other pertinent information offered by the patient.
Document detailed information and enter data into the patient’s medical record as directed by the physician.
Serve as a point person for billing questions related to physicians’ coding choices and resolve issues.
Find and enter correct diagnosis codes in the EMR plan page.
Document diagnostic test findings in the EMR as directed by the physician.
Complete charts under physician direction and prepare completed notes for faxing to referring physicians within 24 hours.
Review logs of office procedures performed by physicians to ensure billing accuracy.
Identify mistakes or inconsistencies in medical documentation and help correct them to reduce errors.
Help patients move through the clinic to designated areas when the room coordinator is unavailable.
Assist with phone triage, prescription refills, and lab requisitions.
Complete other duties and assist others as directed.
Follow policies introduced during onboarding, updated in real time, and outlined in the Associate Handbook.