Scribe - Carilion New River Valley Medical Center

Carilion New River Valley Medical Center•Christiansburg, VA

2d•Onsite

About The Position

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. This includes 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. A scribe may also be present to record a physician's consultations with family members or other physicians about a specific patient's case.

Requirements

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

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.
Recording 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.