Medical Scribe Clinic - Cardiology

Advocate Health and Hospitals Corporation•Port Washington, WI

10h•Hybrid

About The Position

This part-time Medical Scribe position in Cardiology is responsible for preparing and assembling medical records, anticipating physician needs, and transcribing medical documentation in real-time using electronic medical record applications. The scribe will document physician-clinician communication, prepare orders, and ensure accurate and timely completion of medical records. With proven competency, the scribe may also perform clinical functions such as patient preparation, vital sign collection, and assisting with procedures.

Requirements

High School Graduate.
Typically requires 1 year of experience in medical assisting, medical transcription, emergency medical services, patient service and/or as a healthcare professional with demonstrated proficiency in medical terminology and technical spelling.
Knowledge of medical terminology, including basic human anatomy and coding.
Demonstrates familiarity with medication names and medical procedures.
Knowledge of essential elements of documenting a provider-patient encounter, HIPAA compliance, and Centers for Medicare and Medicaid Services requirements.
Excellent communication and interpersonal skills.
Ability to maintain sensitivity and confidentiality for the patient while assisting physician.
Ability to develop rapport and maintain positive, professional relationships.
Requires adherence to all policies and procedures, including but not limited to standards for safety, patient service, attendance, punctuality, and personal appearance.
Proficient computer skills including: advanced keyboarding, above average typing speed, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems.
Ability to effectively multi-task, with excellent prioritization and organization skills.
Must have a high attention to detail and accuracy when documenting health information.
Ability to work effectively in a fast paced and stressful environment.
Must have ability to travel to various work locations.

Nice To Haves

May need successful completion of authorized medical scribe training course within 30 days of hire.

Responsibilities

Prepares and assembles medical record documentation/chart for physician prior to patient visit.
Obtains internal and external previous medical records and test results to anticipate physician needs.
Ensures all elements of documentation are complete and accurate.
Enters the patient room with the physician/clinician to capture and transcribe medical record documentation in real time using electronic medical record applications.
Documents physician/clinician's communication with the patient using appropriate medical terms and phrasing.
Prepares (pends) orders including follow-up testing, lab orders, medication orders, consults and/or referrals and the associated diagnosis.
Documents correct follow-up instructions and level of service designation based on physician/clinician's direction.
Assists in data entry from devices or other sources.
Completes medical records for each encounter ensuring accurate and timely documentation.
Updates patient history and other pertinent health information in the patient record under physician/clinician direction.
Prepares and sends all documentation for review and approval.
May perform clinical functions such as prepare and room patient for exam, obtain vital signs and document/update pertinent health information, assist the physician/clinician with non-sterile procedures, schedule appointments and referrals to other facilities or services, and perform other data entry into the EHR with proven competency.

Benefits

Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program