Per Diem Medical Scribe

Kaweah HealthVisalia, CA
$20 - $30Onsite

About The Position

Performs clerical and information technology functions for a physician in a clinic and/or hospital setting. Primary responsibility is the capture of accurate transcribed documentation in the electronic medical record system. Primary goal is to increase patient and department throughput. Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Requirements

  • High school diploma or equivalent
  • Medical terminology knowledge
  • Quick and accurate typing speed
  • Strong interpersonal and communication skills

Nice To Haves

  • Some pre-nursing and/or pre-med courses
  • Transcription in an electronic medical record system

Responsibilities

  • Accompanies physician into the patient examination room in order to accurately document the physician’s encounter with the patient and others present.
  • Responsible for accurate, timely charting of patient encounters, including but not limited to patient history, physical exams, diagnostic findings, lab and test results, consultations with other providers, treatment course, diagnoses, patient instructions, prescriptions and follow-up instructions.
  • Reviews the primary diagnoses with provider to ensure that all documentation is accurate and clinically supported in the EMR.
  • Per provider direction, enters proposed orders in the EMR that has accurate and complete diagnosis codes to support the order.
  • Prior to patient encounter, facilitates the acquisition of test results for the provider to review.
  • Continually checks the status of pending studies in order to increase department efficiency.
  • Documents any procedures performed by the physician.
  • Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
  • Performs other duties as assigned.
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