Provider Transcriber

Loma Linda University Health • San Bernardino, CA

2d

About The Position

The Provider Transcriber shadows a Provider during face-to-face patient encounters and takes real-time notes in the electronic medical record. The role documents the history of present illness; past medical, surgical, family, and social histories; review of systems; positive physical-exam findings; and the Provider’s impression or assessment, plan, and orders. The transcriber is accountable for accurately recording medical reports, history and physical information, relevant orders, patient instructions, and other material in the patient’s medical record. Documentation must be limited to information verbalized or inferred by the Physician and/or independent licensed practitioners for whom the transcriber is working. The Provider Transcriber also helps prepare school or work notes and letters to Referring Providers, and performs other duties as needed. The position is in the UHC: Peds - FMO - Genetics department.

Requirements

• High school diploma or GED.
• Ability to keyboard 50 words per minute.
• Ability to use a computer, printer, and necessary software programs, such as Word, Excel, Outlook, and PowerPoint.
• Ability to operate and troubleshoot basic office equipment required for the position.
• Ability to remain calm and respond courteously under pressure, collaborate, and accept direction.
• Ability to think critically, manage multiple assignments, organize and prioritize workload, problem-solve, recall information accurately, pay close attention to detail, and work independently with minimal supervision.
• Ability to distinguish colors as necessary; hear sufficiently for general conversation in person and by telephone and distinguish workplace sounds; and see adequately to read computer screens and necessary written documents.

Nice To Haves

• Coursework in medical terminology, stenography, secretarial work, or transcription.
• At least one year of transcription experience.

Responsibilities

• Shadow Providers during face-to-face patient encounters and take real-time notes in the electronic medical record.
• Accurately document patient histories, review of systems, positive physical-exam findings, Provider assessments and plans, and orders.
• Transcribe medical reports, history and physical information, relevant orders, and patient instructions into the patient’s medical record.
• Document only information verbalized or inferred by the Physician and/or independent licensed practitioners for whom the transcriber is working.
• Assist with preparing school or work notes and letters to Referring Providers.
• Perform other duties as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED