Medical Scribe: Orange Coast Womens Medical Group

Hoag•Mission Viejo, CA

11d

About The Position

The Medical Scribe acts as the personal assistant to the physician performing all documentation functions in the EHR system in a complete and timely manner. The Scribe accompanies the Physician into the patient examination room and accurately transcribes the history, physical exam, documents the encounter and others present with the patient at the time. Documents all procedures performed and advice provided by the Physician. Document physical examination findings and procedures as performed by the physician. Document the results of laboratory and radiographic studies as dictated by the physician. Document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient. Lists all proper diagnoses and symptoms as well as follow-up instructions and prescription as dictated by the Physician. Transcribes patient orders including laboratory results, radiology tests, medications etc. The Scribe maintains a working knowledge of departmental standard operating procedures. This knowledge may include the use of specialized instrumentation, Quality Control requirements, and preventive maintenance. Performs other duties as assigned.

Requirements

High school graduate or equivalent
Minimum six (6) month’s experience as a Medical Scribe, or equivalent training, experience, and education
Working knowledge of The EHR system and Outlook required
Ability to Read/Interpret documents, write reports/correspondence, speak concisely and clearly
Ability to Listen effectively and interface with the Public required
Fast, accurate typing, transcription skills, filing, and phone skills required

Nice To Haves

BLS – AHA Basic Life Support

Responsibilities

performing all documentation functions in the EHR system in a complete and timely manner
accompanying the Physician into the patient examination room and accurately transcribing the history, physical exam, documents the encounter and others present with the patient at the time
documenting all procedures performed and advice provided by the Physician
documenting physical examination findings and procedures as performed by the physician
documenting the results of laboratory and radiographic studies as dictated by the physician
documenting the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient
listing all proper diagnoses and symptoms as well as follow-up instructions and prescription as dictated by the Physician
transcribing patient orders including laboratory results, radiology tests, medications etc
maintaining a working knowledge of departmental standard operating procedures
performing other duties as assigned