SCRIBE - ORTHOPEDICS GRATIOT

Covenant HealthCare•Saginaw Charter Township, MI

About The Position

The Scribe/Provider Facilitator assists an assigned provider by documenting patient encounters, supporting healthcare providers with medical records, and helping set up procedures and obtain items as needed. The Medical Scribe works alongside providers to improve workflow efficiency and support quality patient care. The role is expected to demonstrate customer service consistent with Covenant Healthcare’s Vision, Mission, and Values and its commitment to Extraordinary Care for Every Generation.

Requirements

High school diploma.
Currently working toward an advanced degree as a provider, provider assistant, or nurse; or completion of a scribe, medical terminology, or electronic medical record training program or course; or prior experience as a Medical Scribe.
Maintain active knowledge of key billing and coding practices and department-specific core measures, and monitor their application.
Proficiency with computer applications, including Microsoft Office and EMR.
Knowledge of standard office equipment.
Excellent oral and written communication skills when interacting with patients and families.
Exemplary customer service skills.
Demonstrated organizational skills and attention to detail.
Ability to protect and maintain the confidential nature of information and materials.
Excellent time management skills to achieve maximum productivity.
Flexibility in cooperation with 24-hour staffing patterns and scheduling needs for provision of care in the ECC department.
Ability to maintain regular, punctual attendance consistent with ADA, FMLA, and other federal, state, and local standards.

Nice To Haves

Familiarity with medical terminology and basic anatomy.

Responsibilities

Follow the provider into patient rooms and document encounter histories, physical examinations, assessments, treatment plans, and procedures.
Update patient charts with changes or corrections to medical, surgical, or social history as directed by the provider.
Retrieve information, X-rays, other studies, and pending orders, excluding medications, from patient charts for provider review or signature.
Monitor laboratory and imaging studies to ensure timely results, follow up until completion, and inform the provider of delays.
Document laboratory, imaging, and diagnostic results, procedures, and discussions with consultants or family members as directed by providers.
Complete the ECC course and medical decision-making section, as directed, for provider signature.
Complete discharge instructions, including prescriptions as directed by the provider, for provider signature.
Complete chart documentation in a timely, accurate, legally sound manner, including importing pertinent studies as directed, and capture pertinent data for reimbursement.
Notify the provider when all results are available and the patient is ready for disposition.
Obtain items for the provider and help set up procedures, without direct patient contact.
Obtain items for patients as requested by the provider, such as water, food, or a blanket.
Participate in regular quality assurance reviews of documentation skills and expectations.
Participate in quality improvement initiatives and staff meetings.
Maintain patient confidentiality in accordance with practice policies and government regulations, including HIPAA.
Maintain professional competency through training, continuing education, unit conferences, in-service programs, annual mandatory education, and competencies.
Perform other duties as assigned.