Medical Scribe PRN

CommonSpirit Health•College Station, TX

15d

About The Position

Where You’ll Work CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities Ability to comprehend and follow instructions; maintain attention and concentration for necessary periods; synthesize, coordinate, and analyze data, perform simple and repetitive tasks; maintain a work pace appropriate to given work load; perform complex and varied tasks; relate to other people beyond giving and receiving instructions; get along with co-workers and peers; understand the meaning of words and how to use them appropriately and effectively; understand and remember detailed instructions; make independent decisions or exercise judgment based on appropriate information; accept and carry out responsibility for direction, control and planning. Documents or records the visit elements exactly as stated by the practitioner without interjecting his or her own observations or impressions.

Requirements

Education Required: High School graduate, enrolled in college courses
Experience Required: 1 year of experience in a similar position
Required Minimum Knowledge, Skills, Training and Abililties:

Nice To Haves

Preferred: Bachelor's Degree
Preferred: 2 years experience in a similar position or clinic setting
Preferred: Knowledge of Medical Terminology

Responsibilities

Captures accurate and detailed documentation (handwritten, electronic, or otherwise) of the encounter in a timely manner.
Assists the practitioner in navigating the medical record.
Responds to various messages as directed by the practitioner.
Locates information for review (es: previous notes, reports, test results, and lab results)
Documents information into the medical record as directed by the practitioner.
Enters information in the electronic health record such as patient history, system review and physical examination, vital signs, procedures and treatments performed by the practitioner, care plan and medication lists, progress of lab, x-ray or other patient evaluation data, and practitioner dictated diagnoses, prescriptions and instructions.
Research information requested by the practitioner.
Must make entries in the electronic health record using their own password/ access for all entries and must clearly include the name of the scribe and a legible signature/electronic signature, the name of the practitioner rendering services, qualifications of each person, and authentication of the scribe, including accurate date and time of service.
Supports the practitioner in care documentation and data retrieval.
Performs other duties as assigned to meet the organization`s needs.