Clinic Scribe

Proliance Surgeons•Bellingham, WA

About The Position

The Medical Scribe supports physicians in delivering accurate, efficient patient care by documenting patient encounters and procedures and assisting with related clinical and administrative tasks. 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 position may transition to AI scribe review and cleanup at a computer five days per week. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.

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.
Ability to code and report medical record data according to CMS guidelines.
Strong keyboard and computer skills and working knowledge of Microsoft Word.
Strong customer service and 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 HIPAA confidentiality.
Efficient time management, meticulous attention to detail, accuracy, and follow-through.
Resourcefulness in troubleshooting first-level problems and judgment about when to involve others.
Ability to perform in a high-volume, fast-paced environment and remain objective in challenging situations.
Ability to adapt to change, delays, or unexpected events while maintaining a positive mindset.
Clear oral and written communication skills and ability to provide feedback to improve performance.
Self-motivation and ability to work independently, meet standards 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 while remaining with the physician during patient examinations.
Assist with patient care as requested, including setting up for procedures as directed.
Answer telephone calls into 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 locate information relevant to patients.
Ensure patient history forms are complete, including documenting “no” answers to “normal.”
Review and modify the HPI and other pertinent information provided by the patient to the physician.
Enter detailed information into the patient’s medical record as directed by the physician.
Address billing questions related to physicians’ coding choices and resolve issues.
Find and enter correct diagnosis codes on 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 procedures performed in the office to help ensure billing accuracy.
Identify errors or inconsistencies in medical documentation and verify corrections 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.