Scribe
About The Position
JOB SUMMARY : Medical Scribes are individuals trained in medical documentation who assist a provider throughout their shift. The primary goal is to increase the efficiency and productivity of the provider. It will be the responsibility of the Medical Scribe to annotate any dictated or written information for the treatment of patients. The Medical Scribes will follow all local, state and federal guidelines regarding documentation into the electronic health record. The Medical Scribe will be responsible for clearly recording each patient's symptoms, history, physical exam and documenting the diagnosis. This position will have no direct involvement in patient care but has an interdepartmental role in assisting nursing and front desk staff. ESSENTIAL FUNCTIONS : The primary role of the Medical Scribe is to assist the provider with documentation of patient's medical chart during his or her visit. Accompanies the provider into the patient examination room in order to transcribe the patient history and physical examination as given by the patient and provider. Documents any procedures performed by the provider or nurses, on the electronic medical chart. Is an expert in the use of various templates and documentation techniques available in the EHR (Electronic Health Record) system and use these tools efficiently so individual encounters can be well documented, as well as accurately congregate data collected for statistical reports. Transcribes any consultations or discussions with family members and/or the provider. Completes the patient's chart by transcribing results of any labs, x-rays, or other evaluations. In doing so, the medical scribe continuously checks on the progress of this data in order to get the patients workup complete, so the provider is able to make decisions regarding the patient. Lists all proper diagnoses as well as any follow up instructions and prescriptions, as dictated by the provider. Performs other duties as assigned.
Requirements
- High school graduate or equivalent.
- 6 months to 1-year minimum time commitment
- Ability to type 45-60 WPM
- Must have excellent customer service skills, positive attitude, and be a team player.
- Maintain confidentiality of all patients, and employee information.
- Must pass a pre-employment drug screen, physical and background investigation.
Nice To Haves
- Medical Scribe Certification and Aptitude Test (MSCAT) certification after 200 hours on the clinic floor
- Previous experience working in an outpatient clinic or doctor’s office.
- Medical Terminology, Anatomy and Physiology Coursework.
Responsibilities
- Assist the provider with documentation of patient's medical chart during his or her visit.
- Accompanies the provider into the patient examination room in order to transcribe the patient history and physical examination as given by the patient and provider.
- Documents any procedures performed by the provider or nurses, on the electronic medical chart.
- Is an expert in the use of various templates and documentation techniques available in the EHR (Electronic Health Record) system and use these tools efficiently so individual encounters can be well documented, as well as accurately congregate data collected for statistical reports.
- Transcribes any consultations or discussions with family members and/or the provider.
- Completes the patient's chart by transcribing results of any labs, x-rays, or other evaluations.
- Lists all proper diagnoses as well as any follow up instructions and prescriptions, as dictated by the provider.
- Performs other duties as assigned.
Benefits
- SCIHP offers a comprehensive and competitive benefits package that includes low-deductible medical insurance, a medical and a dependent flexible spending account, along with employer-paid dental, vision, life insurance, employee assistance program (EAP).
- We offer a 401k Tax Sheltered Annuity (3% non-elective safe harbor contribution; matching tiers based on years of service, up to 6%) eligibility requirements apply.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
