Health Information Management Scribe 2

CAMC Health System•Beckley, WV

12d•Onsite

About The Position

The Health Information Management Scribe 2 captures accurate, detailed documentation of patient encounters in the electronic health record (EHR) or by handwritten record. Scribes may not make independent decisions or translations when entering information into the medical record. The role supports physicians and clinicians with EHR navigation, documentation, information retrieval, ordering services as directed, workflow processes, and software training and troubleshooting. The position requires a high school diploma or GED and two years of experience in a medical office, clinical, or hospital setting. Medical transcription experience is preferred. Formalized training in medical transcription, medical terminology, and/or physiology may be substituted for medical transcription experience. No certification, competency, or license is required. This is a full-time regular position working days at the Beckley location.

Requirements

High school diploma or GED.
Two years of experience in a medical office, clinical, or hospital setting.
Must not make independent decisions or translations when entering information into the medical record.
Must demonstrate competency through initial orientation and ongoing competency validation.
For positions with direct patient contact, must demonstrate knowledge and skills to obtain and interpret information in terms of patient needs, understand growth and development, and understand the range of treatment needed by patients.
No certification, competency, or license is required.

Nice To Haves

Experience in medical transcription is preferred.
Formalized training in medical transcription, medical terminology, and/or physiology may be substituted for medical transcription experience.

Responsibilities

Assist physicians in navigating the EHR.
Respond to messages as directed by the physician.
Locate information for physician review, including previous notes, reports, test results, and laboratory results.
Enter information into the medical record as directed by the physician, by clicking or typing.
Research information as requested by the physician.
Record handwritten information using approved downtime procedures when necessary.
Assist physicians in ensuring critical documentation is available and recorded for accurate coding.
Set up Normals and templates for clinicians.
Train and assist new clinicians in efficient use of Dragon and Cerner.
Act as a liaison with Desktop Support to troubleshoot issues.
Order tests, blood work, and other services for patients as directed by the physician, and follow up as directed during the patient visit.
Assist clinicians in determining process flows.
Provide software support and training in PowerChart and other Cerner software.
Maintain and document applicable required education.
Demonstrate positive customer service and co-worker relations.
Comply with the company's attendance policy.
Participate in departmental and institutional continuous quality improvement activities.
Perform work in a cost-effective manner and in accordance with departmental pay practices and scheduling policies, including overtime, various shift work, and on-call situations.
Perform work in alignment with the organization's mission and strategic plan and follow applicable organizational and departmental policies and procedures.
Perform related duties as assigned.
Demonstrate competency through initial orientation and ongoing competency validation for assigned tasks and duties.
For positions with direct patient contact, obtain or possess and demonstrate developmentally appropriate patient assessment, treatment, or care knowledge and skills as defined by the department.