Scribe

ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA, INC.•Walnut Creek, CA

13h•$21 - $25•Hybrid

About The Position

The Medical Scribe will accompany the physician and/or mid-level provider into the patient examination area to transcribe findings in real time as the provider evaluates the patient. This role involves documenting patient history, physical examinations, orders, results, and discharge instructions. The scribe will ensure the Electronic Health Record (EHR) is complete and meets all documentation requirements. Additionally, the scribe may be involved in special projects, provide patient education, and create letters and forms.

Requirements

At least 1 year of previous Medical Scribe experience.
Able to type at least 60 wpm.
Excellent communication skills
Basic knowledge of computers
Strong interpersonal skills
Ability to work in a team environment
Medical Scribes must be proficient in typing and good at spelling, punctuation, grammar, and oral communication.
Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion.
Strong understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
Translate medical abbreviations into their expanded forms.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute ratio and percent.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to apply logic and draw conclusions based on knowledge.
Have the ability to refer to reference materials to solve problems.
To perform this job successfully, an individual should be able to learn and use all functions of electronic medical record software and transcription software.
Must be able to type words and numbers quickly and accurately
Must comply with HIPAA confidentiality standards when accessing or communicating patient information.
While performing the duties of this Job, a Medical Scribe is regularly required to stand; sit; walk; use hands to type, write with a pen, finger, handle, or feel; reach with hands and arms and talk or hear.
The Medical Scribe must regularly lift and /or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.

Nice To Haves

EPIC highly preferred.
Prior courses in medical terminology preferred.
Have some experience in office management setting.
Flexibility to travel to different office locations.

Responsibilities

Accompany the physician and/or mid-level provider into the patient examination area in order to transcribe findings in real time as the provider evaluates the patient.
Document history of the patient’s chief complaint as given by the patient and communicated by provider.
Document the physical examination as given by patient and communicated by provider.
Transcribes under the direction of provider, patient orders, including laboratory tests, imaging tests, and medication orders.
Looks up pertinent past medical records at the direction of the provider.
Keeps track of and enters the results of imaging/lab studies as directed by the provider.
Lists proper diagnosis and discharge/follow-up instructions and prescriptions, as dictated by the provider.
Enters in level of service for the designated code assigned by the provider.
Assures that the EHR is complete and all pertinent documentation requirements are met.
Retrieve completed lab results.
Be involved in special projects as needed.
Provide some patent education such as inhaler technique and Epipen techniques, etc.
Create letters and forms for patients and providers as needed.