Medical Scribe

Role Summary

As a Medical Scribe, you will participate in the successful execution of scribe services to health care providers. In this position, you will be required to follow and observe provider(s) for extended periods to accurately document every aspect of every patient encounter as well as assist with the efficiency of each provider(s) by complying with the location-specific workflows. Every location has unique and specific goals, outlined by the provider(s), and you will be expected to work collaboratively as part of a team to achieve these goals.

Responsibilities

• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to patient medical history and physical exam, procedures and treatments performed by providers and nursing staff, patient education, physician-dictated diagnoses, prescriptions, and instructions.
• Preparation of referral letters as directed by the physician, coordinate referrals, prepare operative reports, and other clerical tasks as assigned.
• Collect, organize and catalog data for physician quality reporting system and other quality improvement efforts.
• Assist in developing and maintaining systems to track patient follow-up and compliance.
• List all proper admission or discharge diagnoses as well as follow-up care instructions as dictated by the provider.
• Document the time and reasoning for, but not electronically submit, patient orders including lab tests, radiology tests, and medications.
• Successfully navigates the location-specific Electronic Medical Record (or EMR) system to input documentation.
• Inform provider(s) when diagnostic studies are completed, prepare for review, and document in EMR.
• Work under pressure, within time constraints. Must be able to act calmly and effectively in a busy or stressful situation.
• Exhibit excellent listening skills.
• Concentrate on the needs of the provider(s) throughout the entire shift.
• Understand and observe legal concepts (e.g. HIPAA, confidentiality).
• Maintains professional appearance (uniform as specified) and conduct at all times.
• Adhere to and observe company and client partner work practices (e.g. cell phone use, food/drink policies).
• Establish and maintain effective working relationships with the provider(s), staff and management.
• Comply with HIPAA confidentiality standards when accessing or communicating patient information.
• Perform other duties as assigned within the scope of the position.

Key Competencies

• Writing Skills – knowledge and demonstration of proper grammar and spelling in documentation, ability to write concisely, clearly, and logically. Exhibit legible handwriting.
• Typing Skills – the ability to type accurately at 45 wpm is preferred.
• Exhibit excellence in medical terminology and billing & coding knowledge in all documentation.
• Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
• Client Service – ability to respond to and anticipate needs, including process constructive critical feedback.
• Interpersonal Relations – ability to exhibit understanding and respect for others to support and maintain professional relationships.
• Demonstrated ability to learn and use all functions of electronic medical record software and transcription software. Must accurately enter data into a database, search for information, and send and receive emails and attachments.
• Personal and professional ethics in observance of legal requirements and company standards.
• Ability to maintain and adjust to changing needs of provider(s) and to location as a whole.
• Multi-task efficiently and effectively as required.
• Proficient with MS Office Suite (Word, Excel) and web-based applications
• Strong verbal and written communication skills
• Detail-oriented with strong organizational skills
• Ability to prioritize multiple responsibilities and manage a large workload within tight deadlines.
• Committed to customer service
• Demonstrated research and problem-solving skills

Qualifications

• Bachelor's Degree in the Sciences and Pre-health preferred.
• One year of experience as a Medical Scribe or Medical Assistant preferred.

Job Type: Full-time

Pay: From $22.00 to $24.00 per hour

Expected hours: 40 per week