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1st Choice Healthcare - Corning, AR

posted 11 days ago

Full-time - Entry Level
Corning, AR

About the position

Medical Scribe ensures the accuracy, completeness, and quality of medical documentation to support efficient patient care and compliance with healthcare regulations. This role involves assisting the healthcare provider during in-person patient encounters, moving from room to room to document clinical notes. This role involves recording detailed and accurate information about patient history, physical examinations, diagnostic results, treatment plans, and provider instructions into the electronic medical record (EMR). The scribe ensures that documentation is completed promptly, allowing the provider to focus on patient care. At 1st Choice Healthcare, we embrace and practice patient-centered care and we strive to provide all of our patients with the best possible medical care. We encourage each patient to take an active role in their healthcare. We believe that in addition to helping patients when they are sick, we can and should help guide them in making healthy choices for preventive care. 1st Choice Healthcare is a non-profit, Joint Commission accredited, Federally Qualified Health Center. We welcome all members of our community, especially those unable to afford care. We are founded and governed by our community.

Responsibilities

  • Record provider orders for diagnostics, medications, and referrals.
  • Document follow-up care instructions and post-visit summaries as directed by the provider.
  • Ensure all documentation is completed in a timely manner to reduce provider workload.
  • Assist providers by retrieving medical records, lab results, imaging reports, and other relevant patient data during visits.
  • Manage and update templates for efficient documentation.
  • Review documents for the provider and prepare them for signature on the iPad.
  • Coordinate CPAP orders, medical supply requests, and home health services.
  • Coordinate calls between the provider and other healthcare professionals.
  • Review medical records for completeness, accuracy, and compliance with regulatory standards (e.g., CMS, HIPAA).
  • Review the schedule to ensure appointments are appropriately categorized, such as chronic care, established patient visits, or sick visits, and confirming adequate time is allocated for each patient.
  • Anticipating the provider's needs and proactively addressing any obstacles that could disrupt patient care or the day's workflow.

Requirements

  • High school diploma or equivalent required; Associate or Bachelor's degree in health information management, medical coding, or related field preferred.
  • Minimum of 1-2 years of experience as a medical scribe, medical coder, or clinical documentation specialist.
  • Proficiency in electronic medical record (EMR) systems required.
  • Experience with ICD-10, CPT, and HCPCS codes is highly desirable.
  • Strong knowledge of medical terminology and anatomy.
  • Excellent attention to detail and organizational skills.
  • Adept time management, scheduling, and multitasking, ensuring that all aspects of the provider's day run smoothly.
  • Effective communication and collaboration with healthcare providers and clinical staff.
  • Good listener, able to interpret the provider's needs, and convey messages effectively.
  • Ability to analyze data and identify trends or areas of improvement.
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