Medical Scribe

PSN Services•Plano, TX

5d•Onsite

About The Position

The Medical Scribe ensures accurate and timely documentation of the medical chart under the supervision of the medical provider. The Scribe assists the provider by accompanying them during the patient exam recording detailed information into the electronic medical record (EMR). The Scribe performs other related medical record or clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction.

Requirements

Ability to learn and appropriately apply basic medical terminologies and techniques taught.
Strong and written verbal communication.
Ability to observe and to draft a narrative account of events accurately and cogently, in grammatically correct language.
Ability to spell proofread and edit written.
Keyboard proficiency (approximately 60 words/minute).
Ability to operate a personal computer and related software applications.
Ability to work in a dynamic, high stressful environment that routinely involves exposure to highly sensitive personal medical.
Ability to multi-task, coordinate multiple projects.
Ability to communicate and interact professionally with staff and patients.
Ability to work in a stressful and fast-paced environment.
Ability to read, write, comprehend through listening, and speaking fluent English.
Ability to operate a computer and/or laptop through proficient typing, clicking, and ability to handwrite legibly.

Responsibilities

Preparing and assembling medical record documentation/charts for physician(s).
Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.
Ensuring medical record compliance by self-documentation attestation to include Scribe name, title and doctor working for as well as specific date and time entry.
Updating patient history, physical exam, and other pertinent health information in the patient record.
Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures.
Compliance with office policies, including those relating to HIPAA.
Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.
All other duties as assigned.