Medical Scribe

THE HEALTH AND WELLNESS CENTERS, INC.•,

10d•$22 - $23

About The Position

The Medical Scribe accompanies physicians during patient examinations and accurately documents their encounters in the electronic health record. The role includes greeting patients, transcribing histories and physical examinations, documenting procedures, orders, diagnoses, symptoms, follow-up instructions, and prescriptions as dictated by the physician, and adding chief complaints to ECW. The Medical Scribe protects confidential information in accordance with HIPAA guidelines and may perform other duties as assigned.

Requirements

High school diploma or equivalent.
Ability to work with people from diverse cultural, educational, social, and economic backgrounds.
Detailed knowledge of medical terminology and the ability to distinguish different examinations and medical diagnoses.
Ability to work independently and be a self-starter with minimal supervision.
Excellent oral and written communication skills.
Excellent organizational skills, including a focus on tracking patient care and improving patient flow.
Computer proficiency.
Obtain CPR within two weeks of hire.

Nice To Haves

Experience using an Electronic Medical Records (EMR) system is highly desirable.
Bilingual ability is preferred.

Responsibilities

Accompany physicians into patient examination rooms and transcribe histories and physical examinations.
Accurately document the physician’s encounter with the patient and others present in EHR software.
Greet patients in a professional and friendly manner.
Handle confidential material while protecting its confidentiality under HIPAA guidelines.
Communicate clearly and distinctly, using appropriate vocabulary and grammar, to obtain and convey information.
Transcribe patient orders, including laboratory tests, radiology tests, and medications.
Document procedures performed by the physician.
List diagnoses and symptoms, and document follow-up instructions and prescriptions as dictated by the physician.
Add chief complaints to ECW.
Attend and participate in meetings as required.
Perform other duties as assigned.
Track patient care and help improve patient flow.