Scribe

Responsibilities

• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to: o Patient medical history and physical exam
• Procedures and treatments performed by healthcare professionals, including nurses and physician assistants oTranscribe patient orders including laboratory tests, radiology tests, medications, etc.
• Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up oPatient education and explanations of risks and benefits
• Prepare referral letters as directed by the physician oMake copies of ALL prescriptions given to Patients
• Scan everything copied, along with whatever paperwork asked to scan
• Dictation/faxing/phone calls and clerical tasks.
• Research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and other clerical tasks as assigned.
• Spot mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. All addenda must be signed off by a physician.
• Ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record.
• Alert physician when chart is incomplete.
• Comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential.

Competencies

1. Language Skills – The ability to write routine reports and correspondence. Medical Scribes must be proficient in typing and good at spelling, punctuation, grammar, and oral communication. Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills required to generate professional, polished writing at a high rate of production. Handwriting must be clear and legible.

2. Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports. Translate medical abbreviations into their expanded forms.

3. Mathematical Skills – Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Prepare and interpret charts and graphs. Have the ability to compute ratio and percent.

4. Reasoning Ability – Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to apply logic and draw conclusions based on knowledge. Have the ability to refer to reference materials to solve problems.

5. Computer Skills – To perform this job successfully, an individual should be able to learn and use all functions of electronic medical record software and transcription software. Must accurately enter data into a database, search for information, send and receive email and attachments. Must be proficient in Microsoft Word in order to prepare correspondence, medical reports, and other documents. Must use Microsoft Excel to prepare flowcharts and organize data. Must use the internet to access schedules, research information, etc.

6. Other Skills and Abilities – Must be able to type words and numbers quickly and accurately; must comply with HIPAA confidentiality standards when accessing or communicating patient information.

Preferred Education and Experience

1. Bachelor's degree in Health Science, Biomedical Science, Biology, or other health science related concentrations

2. Over 6 months scribing experience in medical settings, either ED or primary care

Required Skills

1. Proficient in Medical Terminology, through coursework or experience.

2. Recognition of physical exam process and ability to record exam details.

3. Computer proficiency and ability to quickly learn new applications.

4. Legible handwriting and ability to accurately record information.

5. Organizational skills with focus on tracking patient care and improving patient flow.

6. Professional demeanor and recognition of privacy considerations for patients and families.

7. Ability to multi-task efficiently and effectively.

8. Must be able to act calmly and effectively in a busy or stressful situation.

EEO Statement

[EEO statement here, if applicable.] We will insert this in finalized copies

Other Duties

Travel: Travel is primarily local during the business day. May be required to travel between offices, as needed for provider scheduling.

Supervisory Responsibility: None

Work Environment

This job operates in a professional medical office environment. This job also operates in a fast paced, highly customer service environment, working with Children and Family/ Guardian’s. This role routinely uses standard office equipment such as laptop computers and smartphones as well as medical equipment.

Physical Demands

While performing the duties of this Job, a Medical Scribe is regularly required to stand; sit; walk; use hands to type, write with a pen, finger, handle, or feel; reach with hands and arms and talk or hear. The Medical Scribe is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The Medical Scribe must regularly lift and /or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.

Position Type/Expected Hours of Work

Varies by position, shift and/or location and some holidays

About ANGEL KIDS PEDIATRICS, P A

As the largest pediatric clinic in Jacksonville, serving 10 locations with nearly 20,000 patients, Angel Kids Pediatrics believes that caring for children is a continual process, and should not be limited to just doctor's office visits during regular business hours. We believe that by providing excellent medical care in a family and community-based environment that we can grow healthy children who will become healthy adults. We uphold the highest standards of a patient-centered medical home that provides quality, personalized and effective medical care as if each family was part of our own. Equity, innovation, and inclusion guide our growth and strategy. We are looking for individuals who are passionate about, and committed to leading efforts to provide culturally relevant care, reduce health disparities, and helping build a diverse and inclusive team environment.