Scribe

Summit Health CityMD•Fair Lawn, NJ

1d•Onsite

About The Position

The Scribe is responsible for assisting physician, PA or NP with clerical duties, patient flow, patient care, procedures, initial clinical intake, ensuring documentation capture and providing scribing services. Works side by side with the Provider as a documentarian to ensure all information verbalized was correctly understood/scribed into the EMR. Gathering of clinical information and collecting data from various sources such as prior records, radiology, labs etc. Alerts Provider of prompts such HCC, MU, Quality metrics. Queues up orders as dictated by the Provider and ensures bot Provider final and timely sign off. Ensures both Scribe and Provider attestation required statements are added to scribed documentation. Documentation is captured timely and completed by end of the encounter in most cases. Understanding and proper use of Provider EMR procedure/assessment templates in scribed notes. Assists Provider with completion of billing summary. Maintains current understanding of documentation requirements (CMS/SMG Scribe requirements, Specialty/ Provider EHR templates).

Requirements

High School Graduate/ GED equivalent work required
Ability to communicate in English, both orally and in writing
Ability to organize and perform multiple tasks in a timely manner
Proficiency in computer use
Proficiency use of EMR
Basic understanding of ICD-10,CPT, HCPCS coding skills
Medical Terminology, Anatomy & Physiology/ Medical Science

Nice To Haves

Associate’s Degree preferred

Responsibilities

Assisting physician, PA or NP with clerical duties, patient flow, patient care, procedures, initial clinical intake, ensuring documentation capture and providing scribing services.
Works side by side with the Provider as a documentarian to ensure all information verbalized was correctly understood/scribed into the EMR.
Gathering of clinical information and collecting data from various sources such as prior records, radiology, labs etc.
Alerts Provider of prompts such HCC, MU, Quality metrics.
Queues up orders as dictated by the Provider and ensures bot Provider final and timely sign off.
Ensures both Scribe and Provider attestation required statements are added to scribed documentation.
Documentation is captured timely and completed by end of the encounter in most cases.
Understanding and proper use of Provider EMR procedure/assessment templates in scribed notes.
Assists Provider with completion of billing summary.
Maintains current understanding of documentation requirements (CMS/SMG Scribe requirements, Specialty/ Provider EHR templates).