Medical Scribe

Horizon Health•Paris, IL

13d•$15 - $21•Onsite

About The Position

Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors. Position Summary: To capture accurate and detailed documentation of the provider/patient encounter in a timely manner. Signs and dates all entries he or she makes in the medical record (electronic or manual) as well as identifies his or her role as a scribe for current provider in the documentation. Locates information for review for the provider. Researches information requested by the provider. Assist the provider in navigating the EHR. Responds to various messages as directed by the provider. Essential Functions: Documents the physician or practitioner’s dictation and/or activities during the patient visit into the electronic EMR at the direction of a physician or practitioner. The scribe does not act independently and the physician or practitioner must authenticate the scribe’s entry/documentation by signing, dating, and timing it. Follows all human resource, Information Management, and HIPAA, confidentiality, and patient rights standards and policies as other personnel. Documents his or her role as the scribe as well as times and signs as the scribe. This documentation will be clearly identifiable and distinguishable from that of the physician or practitioner or other staff. Assists the physician or practitioner in navigating the EMR and in locating information such as test results and lab results. Supports work flow and documentation for medical record coding. The individual working as a scribe will not work as a clinical assistant simultaneously during the same encounter. Communicates with interdisciplinary services regarding patient needs as indicated. Knows and practices good customer service; demonstrates friendly and caring attitude toward patients and families. Good rapport with co-workers and medical providers. Works to create a pleasant work environment as well as viewed as an asset to the patient’s medical team. The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital’s goals and objectives.

Requirements

Must have a minimum of a high school diploma
Computer and typing skills are required
Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
Experience with medical terminology
Current CPR certification or must obtain within 30 days of hire
Ability to communicate verbally and in writing.
Ability to perform complex and multiple tasks in a fast-paced, changing work environment subject to stress and interruption in an organized and timely fashion

Responsibilities

To capture accurate and detailed documentation of the provider/patient encounter in a timely manner.
Signs and dates all entries he or she makes in the medical record (electronic or manual) as well as identifies his or her role as a scribe for current provider in the documentation.
Locates information for review for the provider.
Researches information requested by the provider.
Assist the provider in navigating the EHR.
Responds to various messages as directed by the provider.
Documents the physician or practitioner’s dictation and/or activities during the patient visit into the electronic EMR at the direction of a physician or practitioner.
Assists the physician or practitioner in navigating the EMR and in locating information such as test results and lab results.
Supports work flow and documentation for medical record coding.
Communicates with interdisciplinary services regarding patient needs as indicated.
Knows and practices good customer service; demonstrates friendly and caring attitude toward patients and families.
Good rapport with co-workers and medical providers.
Works to create a pleasant work environment as well as viewed as an asset to the patient’s medical team.