Scribe - Carilion Orthopedic Surgery

Carilion Clinic•Roanoke, VA

7d•$15 - $21•Onsite

About The Position

The Scribe facilitates and assists with completing physicians’ medical records and patient documentation in a professional and timely manner. The Scribe accompanies a physician during patient-care duties throughout each work shift and updates the medical record in real time, transcribing physical examination details and other chart elements. This includes incorporating results from laboratory and imaging tests and medications ordered by the physician. The Scribe may also document physician consultations with family members or other physicians about a patient’s case. The role includes reminding physicians about pending laboratory, X-ray, and other evaluation data and entering results into patient charts so that workups are complete and physicians can make informed treatment decisions. The Scribe documents procedures performed by physicians and other healthcare professionals, including nurses and physician assistants, and may assist with initiating pages to consultants. The role requires mastery of the EPIC EMR and PACS imaging system. Other duties may include site- or department-specific tasks; assisting with PPE mask drop-off and retrieval, bleach changes, PPE replacement, and employee exposure logs; implementing timely referrals to physician advisors when working as a documentation specialist; collecting data on activities and improvements; and conducting pre-billing reviews of clinical documentation. The Scribe is expected to maintain awareness of the business of medicine and changes in healthcare coding and billing, including value-based medicine, readmission reduction programs, provider updates, and relevant CMS updates that may affect billing, documentation, and coding. This is a part-time day-shift position at the Carilion Orthopedic Surgery facility at 2331 Franklin Road in Roanoke. Compensation is $15.00–$21.07; employee pay depends on qualifications, credentials, education, and prior work experience. The stated compensation range excludes benefits and the pension plan.

Requirements

Associate's degree or equivalent.
1–2 years of experience working with the public in a healthcare setting.
Excellent PC, typing, interpersonal, and verbal communication skills.
Familiarity with medical terminology.

Responsibilities

Accompany physicians during patient-care duties and update medical records in real time.
Transcribe physical examination details and chart elements, incorporating laboratory and imaging results and medications ordered by physicians.
Document physician consultations with family members or other physicians when applicable.
Remind physicians about pending laboratory, X-ray, and other patient-evaluation data and enter results into patient charts.
Document procedures performed by physicians and other healthcare professionals, including nurses and physician assistants.
Assist with initiating pages to consultants for physicians when needed.
Use the EPIC EMR and PACS imaging system.
Perform other duties required by site- or department-specific needs.
When working with PPE, assist with mask drop-off and retrieval, bleach changes, PPE replacement, and employee exposure logs.
As a documentation specialist, implement appropriate and timely referrals to physician advisors.
Collect data showing activities performed and improvements made when required.
Perform pre-billing reviews of clinical documentation when required.
Maintain awareness of changes in healthcare coding and billing, value-based medicine, readmission reduction programs, provider updates, and relevant CMS changes.