Medical Scribe

Suvida Healthcare•Houston, TX

10h

About The Position

The Clinical Informatics Specialist (CIS) collaborates with Suvida Healthcare primary care providers and assumes a vital role within the Care Team. The primary focus is on ensuring the accuracy and efficiency of medical documentation during patient encounters. Working closely with primary care providers, the CIS scribes and records medical histories, physical examinations, diagnostic tests, treatment plans, and other pertinent information into electronic health record (EHR) systems. The CIS's support empowers healthcare professionals to allocate more time to patient care while maintaining comprehensive and precise patient records. Essential key responsibilities consist of but are not all inclusive:

Requirements

Minimum of 2 years of clinical experience.
Familiarity with medical terminology, anatomy, and physiology is a plus.
Ability to efficiently use electronic health record (EHR) systems.
Strong typing skills and advanced computer proficiency.
Effective written and verbal communication skills.
Ability to thrive in a fast-paced clinical environment with a commitment to accuracy.
Strong organizational skills, effective time management, and problem-solving capabilities.
Willingness to move between Neighborhood Centers as needed.
Proficiency in both English and Spanish is required.

Nice To Haves

Bachelor's degree in healthcare or related field, preferred.
Prior experience as a Medical Scribe is preferred, though not obligatory.

Responsibilities

Patient Encounter Documentation: Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time.
EHR Management: Navigate and proficiently utilize electronic health record (EHR) systems to input and manage patient data, ensuring that all documentation adheres to compliance and confidentiality standards.
Chart Review: Regularly review and organize patient charts, ensuring completeness and accuracy of information, and addressing inconsistencies or discrepancies.
Effective Communication: Act as a liaison between healthcare providers and other team members, facilitating the exchange of important information, requests, and follow-up instructions.
Data Entry and Coding: Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services provided during patient encounters.
Liaison for Documentation Queries: Serve as a liaison between the coding team and providers to ensure the timely resolution of documentation queries.
Morning Huddle Preparation: Conduct thorough research of patients' historical charts and external data to enhance the morning huddle presentation.
Quality Metrics Management: Oversee measurement, analysis, and reporting of healthcare quality metrics. Identify and close gaps in care to ensure optimal outcomes.
Population Health Optimization: Analyze population health and coding strategies to enhance patient stratification, identifying at-risk patients and assisting in enrolling them in chronic care management protocols.
Evidence-Based Research: Stay updated on evidence-based medical protocols and provide revised data to the care team.
Maintain Confidentiality: Adhere to strict patient privacy and confidentiality regulations (e.g., HIPAA) and ensure that all patient data is handled with the utmost discretion.