Medical Scribe

San Diego Cardiac Center Medical Group•San Diego, CA

4d•Onsite

About The Position

Are you considering a career in medicine? Being a medical scribe is a great way to familiarize yourself with patient care by shadowing physicians. You will learn medical language, teamwork, and how trust is developed as well as how to document medical encounters. Most importantly you will interact with patients and learn how to focus on the patient and their concerns. POSITION SUMMARY: Provides support services to providers and nursing staff in order to facilitate documentation and patient flow by transcribing and entering accurate and complete medical information to the patient record.

Requirements

Bilingual in English and Spanish is preferred.
Medical terminology courses
College course work (preferably a bachelor degree in science).
Type 50 WMP.
Current CPR certification
Current health records with the appropriate immunizations to work in the health care field.
Knowledge of medical terminology
Recognition of physical exam process and ability to record exam details
Computer proficiency and ability to quickly learn new applications
Keyboarding/typing at least 50 WPM
Ability to accurately record information in EHR
Organizational skills with focus on tracking patient care and improving patient flow
Professional demeanor and recognition of privacy considerations (knowledge of HIPAA laws) for patients and families
Ability to multi-task efficiently and effectively
Knowledge of health care field and medical office protocols/procedures
Skill with tact and diplomacy in interpersonal interactions
Technical skill and knowledge of Microsoft Office (Word, Excel, PowerPoint, Outlook), Electronic Health Record and Practice Management system, and utilization of other standard software programs and applications preferred
Ability to project a pleasant and professional image
Ability to plan, prioritizes, and complete delegated tasks
Ability to demonstrate compassion and caring in dealing with others
Frequent standing required.
Must be able to lift and carry laptop computer.
Occasional stress from workload.
Requires adequate hearing & vision.
Must be able to lift up to 20 pounds of supplies.

Nice To Haves

Typing: 1 year (Preferred)
Medical terminology: 1 year (Preferred)

Responsibilities

Accompany provider into the patient examination room in order to transcribe history and physical exam and document accurately the provider's encounter with the patient and provider present.
List all proper diagnoses and symptoms as well as follow up instructions, prescriptions patient orders including laboratory tests, radiology tests, and medications as dictated by the provider.
Prepare patient information and chart preparation for upcoming clinics/visits.
Scrubbing clinic schedules.
Maintain professional appearance and conduct at all times.
Adhere to employer work practices.
Establish and maintain effective working relationships with providers, staff, and management.
Incorporates superior patient experience and service excellence into all patient and customer interactions.
Exercises utmost diplomacy and tact to provide excellent customer service for patients and co-workers.
Effectively cope with typical job stress.
Safeguard the privacy of patient health information (HIPAA)
Assist with other duties and responsibilities during slow transcription time or low patient census times.
During slow times, check in with manager.
Light Medical Records duties (faxing, scanning, etc.)
Perform other duties as assigned
Assist with obtaining supporting records as needed.