EHR Scribe - Memorial City (Per Diem)

ENT and Allergy Associates•Houston, TX

20d•Onsite

About The Position

ENT and Allergy Associates is seeking a self-motivated, people-friendly Per Diem EHR Scribe for our Memorial City office. As a Medical Scribe, you will play a crucial role in supporting healthcare providers by accurately documenting patient encounters within the electronic health record system. This position offers an excellent opportunity to gain valuable experience in healthcare documentation and become an integral part of the clinical team. Key Responsibilities: Documentation Assistance: Collaborate with healthcare providers to document patient encounters comprehensively, including medical history, physical examination findings, assessments, and treatment plans, ensuring accuracy and completeness. Data Entry: Enter patient information such as chief complaints, vital signs, medications, allergies, and laboratory results into the electronic health record system accurately and efficiently during appointments. Transcription Support: Assist in transcribing verbal orders, consultations, and other pertinent information from healthcare providers into the electronic health record system, maintaining fidelity to the original communication. Compliance Adherence: Ensure adherence to documentation guidelines and regulations, including HIPAA, to protect patient confidentiality and uphold ethical standards in handling sensitive medical information. Workflow Optimization: Support healthcare providers in navigating the electronic health record system, optimizing workflow efficiency, and minimizing administrative burdens to enhance overall productivity in patient care delivery. Quality Assurance: Review documentation for accuracy, clarity, and consistency, seeking clarification from healthcare providers when necessary to resolve discrepancies and maintain the integrity of the medical record. Effective Communication: Maintain open communication channels with healthcare providers and other members of the healthcare team to relay important updates, clarify documentation requirements, and facilitate seamless coordination of patient care.

Requirements

Prior experience or education in in a healthcare-related field preferred.
Proficiency in computer skills and typing, with a willingness to learn and adapt to various electronic health record systems.
Strong attention to detail, organizational skills, and ability to work efficiently in a fast-paced clinical environment.
Excellent verbal and written communication skills, with the ability to interact professionally with healthcare providers and team members.
Commitment to maintaining confidentiality, integrity, and professionalism in handling patient information and adhering to regulatory requirements.
Must be available Monday through Friday 8:00am-5:00pm
Please note: schedule is subject to change based on physician schedules.

Nice To Haves

Knowledge of medical terminology, anatomy, and physiology preferred.

Responsibilities

Collaborate with healthcare providers to document patient encounters comprehensively, including medical history, physical examination findings, assessments, and treatment plans, ensuring accuracy and completeness.
Enter patient information such as chief complaints, vital signs, medications, allergies, and laboratory results into the electronic health record system accurately and efficiently during appointments.
Assist in transcribing verbal orders, consultations, and other pertinent information from healthcare providers into the electronic health record system, maintaining fidelity to the original communication.
Ensure adherence to documentation guidelines and regulations, including HIPAA, to protect patient confidentiality and uphold ethical standards in handling sensitive medical information.
Support healthcare providers in navigating the electronic health record system, optimizing workflow efficiency, and minimizing administrative burdens to enhance overall productivity in patient care delivery.
Review documentation for accuracy, clarity, and consistency, seeking clarification from healthcare providers when necessary to resolve discrepancies and maintain the integrity of the medical record.
Maintain open communication channels with healthcare providers and other members of the healthcare team to relay important updates, clarify documentation requirements, and facilitate seamless coordination of patient care.