Scribe

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

2h•$21 - $25•Hybrid

About The Position

The Medical Scribe will accompany the physician and/or APP 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, provider orders, and ensuring the EHR is complete and accurate. The scribe will also manage lab results, create letters and forms, and may be involved in special projects.

Requirements

At least 1 year of previous Medical Scribe experience.
Able to type at least 60 wpm.
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.
Mathematical Skills – Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Have the 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.
Computer Skills – 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.

Nice To Haves

EPIC highly preferred.
Prior courses in medical terminology preferred.

Responsibilities

Accompany the physician and/or APP 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.
Create letters and forms for patients and providers as needed.