Scribe (Outpatient); Lodi Urgent Care, Full-Time, Day Shift

Adventist Health • Lodi, CA

31d

About The Position

Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas. Lodi is known for its small-town charm, extensive vineyards and delicious local restaurants and bakeries. The allure of Lodi's close-knit community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as a quick drive to Lake Tahoe or the Northern California coast.
Job Summary:
Assists physicians in hospital and clinic setting to efficiently compile complete and detailed electronic medical records/patient charts. Documents medical visits and procedures as they are being performed by physician including, but not limited to, patient medical history and physical exam, procedures/treatments performed by healthcare professionals, including nurses and physician assistants, patient education and explanations of risks and benefits, physician-dictated diagnoses, and prescriptions and instructions for patient or family members for self care/follow-up.

Requirements

• High School Education/GED or equivalent: Required

Nice To Haves

• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Responsibilities

• Prepares referral letters as directed by the physician, via dictation or summary, of the medical record. Ensures letters are mailed or faxed on a daily basis to all physicians involved in patient’s care, and with all copies of pertinent reports or tests attached.
• Researches contact information for referring physicians, coordinates referrals, prepares operative reports, makes phone calls and performs other clerical tasks as assigned.
• Spots mistakes or inconsistencies in medical documentation and checks to correct information. Ensures all clinical data, lab or other test results, and the interpretation of the results by the physician are recorded accurately in the medical record. Alerts physician when chart is incomplete.
• Complies with specific standards and legal/ethical requirements for preparing medical documents and for keeping patient information confidential.
• Collects, organizes and catalogs data for Physician Quality Reporting System and other quality improvement efforts. Formats for submission. Assists in developing and maintaining systems to track patient follow-up and compliance.
• Performs other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees