Medical Scribe - Surgery (Full Time)

Maui Medical Group, Inc. • Wailuku, HI

7d • Onsite

About The Position

The Medical Scribe is responsible for accurate, thorough documentation of the clinic visit and/or procedures, as they are being performed by the physician. The primary goal is to increase the efficiency and the productivity of the physician they are working for.

Requirements

• High school diploma or equivalent required.
• Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job.
• Must have strong attention to detail as well as written and verbal communication skills and ability to actively listen.
• Ability to observe and to draft a narrative account of events accurately and cogently, in grammatically-correct English.
• Ability to spell, proofread and edit written text.
• Must be able to operate a personal computer and related software application.
• Must have keyboard proficiency (approximately 70 words/minute).
• Ability to work in a dynamic, highly-stressful environment that routinely involves exposure to highly-sensitive personal medical issues.
• Ability to communicate and interact professionally with others.

Nice To Haves

• One year of medical, receptionist experience preferred.
• Medical Terminology
• AHA BLS card or equivalent

Responsibilities

• Accurately and thoroughly document the patient’s medical visits and/or procedures in the electronic medical record (EMR) as instructed by the physician, including but not limited to: Patient medical history and physical exam, Procedures and treatments (diagnostic findings, lab, test results, etc.), Consultations with other providers, Emergency Department treatment course/Hospital Admissions information, Patient education and explanations of risks and benefits, Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up
• Reviews medical documentation created and checks for errors and inconsistencies. Discusses findings with physician. Alerts physician when chart is incomplete. Demonstrates a professional, non-intrusive interaction with patients.
• Complies with standards of the electronic medical records software, legal and ethical requirements for preparing medical documents and keeping patient information confidential. Completes assigned tasks in a timely manner to allow physician to sign off and lock clinical note(s) for processing.
• All other miscellaneous responsibilities and duties as assigned.
• Demonstrates quality work, completes assignments on a timely basis, and makes decisions within limits of authority. Takes initiative in problem solving, maintains confidentiality of patient and company information, and interacts with patients, co-workers, and management in a courteous and respectful manner. Adheres to all company policies and procedures.
• Maintains time and attendance standards consistent with company policy.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED