Scribe - Carilion Roanoke Memorial Hospital

Carilion Clinic•Roanoke, VA

7d•Onsite

About The Position

How You’ll Help Transform Healthcare: The Scribe facilitates and assists in the completion of the physician's medical records and patient documentation in a professional and timely manner. The Scribe Accompanies a physician through the duties of patient care during the course of each work shift, while updating the medical record in real time. Transcribing details of the physical exam and elements of the chart. This includes assimilating results from any lab tests, imaging tests, or medications ordered by the physician. A scribe may also be present to record a physician's consultations with family members or other physicians about a specific patient's case. Reminds physician on the progress of lab, X-ray, or other patient evaluation data and transcribing the results into patient charts so that a patient's workup is complete and the physician can make sound treatment decisions. Documents procedures performed by the physician or any other healthcare professional, including nurses and physician assistants. May assist in initiating pages to the consultants for the physician. Masters the use of the EPIC EMR, and the PACS imaging system. Performs other duties as required based upon site-specific or department specific requirements. When working with PPEs will assist with mask drop off and retrieval, bleach changes, replacement of PPE and employee exposure logs. If working as documentation specialist will implement appropriate and timely referrals to physician advisors. May collect data showing activities performed and improvements made. May perform pre-billing reviews of clinical documentation Demonstrates a willingness to maintain awareness of the business of medicine and changes in coding and billing in a health care setting including, but not limited to, Value Based Medicine, Readmission Reduction Programs, provider updates and the business of medicine directly impacting physician practices that may include updates from CMS that may impact billing, documentation and coding.

Requirements

Education: Associate's degree or equivalent required.
Experience: 1-2 years of experience working with the public in a healthcare setting required.
Other: Excellent PC, typing and interpersonal and verbal communication skills required.
Familiar with medical terminology required.

Responsibilities

Facilitates and assists in the completion of the physician's medical records and patient documentation in a professional and timely manner.
Accompanies a physician through the duties of patient care during the course of each work shift, while updating the medical record in real time.
Transcribing details of the physical exam and elements of the chart.
Assimilating results from any lab tests, imaging tests, or medications ordered by the physician.
Record a physician's consultations with family members or other physicians about a specific patient's case.
Reminds physician on the progress of lab, X-ray, or other patient evaluation data and transcribing the results into patient charts so that a patient's workup is complete and the physician can make sound treatment decisions.
Documents procedures performed by the physician or any other healthcare professional, including nurses and physician assistants.
May assist in initiating pages to the consultants for the physician.
Masters the use of the EPIC EMR, and the PACS imaging system.
Performs other duties as required based upon site-specific or department specific requirements.
When working with PPEs will assist with mask drop off and retrieval, bleach changes, replacement of PPE and employee exposure logs.
If working as documentation specialist will implement appropriate and timely referrals to physician advisors.
May collect data showing activities performed and improvements made.
May perform pre-billing reviews of clinical documentation
Demonstrates a willingness to maintain awareness of the business of medicine and changes in coding and billing in a health care setting