Medical Scribe

Our Internal Medicine department is looking for a full-time Medical Scribe to join their growing team. The Medical Scribe plays a crucial role in assisting healthcare professionals by accurately documenting patient encounters, capturing medical histories, and maintaining up-to-date medical records. The ideal candidate works well in a fast-paced environment and has exceptional organizational skills. 

Responsibilities: 

• Listens to voice recordings of physicians and other healthcare professionals' patient visit notes, and diagnoses, and converts them into written reports
• Transcribes and interprets the dictation into diagnostic test results, operative reports, referral letters, and other documents
• Interprets medical terminology, and abbreviations in preparing patients' medical histories and discharge summaries
• Identifies and corrects inconsistencies, errors, and missing information within a report that could compromise patient care
• Alerts physician when medical record is incomplete, or medical documentation contains mistakes or inconsistencies 
• Complies with all legal and ethical requirements for medical documentation
• Collects, organizes, and catalogs data for physician quality reporting system and other quality initiatives to increase patient compliance and improve outcomes
• Performs clerical tasks as needed by the physician including faxing, phone calls, referral letters
• Documents medical visits and procedures as they are being performed by the physician accurately and thoroughly
• Transcribes, reviews and inputs dictation for a variety of medical reports such as patient histories, consultation, or discharge summaries
• Translates medical jargon and abbreviations into their expanded forms
• Produces medical reports, records, statistics, and administrative material
• Identifies and returns any record errors to physician for correction

Experience, Qualifications, and Education:

• Bachelor's degree in a healthcare-related field
• Proven experience as a Medical Scribe or in a similar role
• Excellent attention to detail and strong organizational skills
• Knowledge of medical terminology and ability to quickly learn new medical concepts
• Proficient in using electronic medical record systems
• Strong communication and interpersonal skills
• Ability to work in a fast-paced environment and handle multiple tasks simultaneously
• Commitment to maintaining patient confidentiality