What are the responsibilities and job description for the Medical Scribe position at Open Door Health Services?
Summary:
As a Medical Scribe you will uphold our Mission, Vision, and Values. In this position, you will be responsible for accompanying physicians, nurse practitioners, and/or other healthcare professionals during patient visits to document the provider assessment and exam in the Electronic Medical Records System (EMR). Documents will be recorded, stored, and become official medical records for the health center.
Responsibilities (How this position enhances our Mission, Vision, and Values)
Mission – Improve the Quality of Life of Others:
As a Medical Scribe you will uphold our Mission, Vision, and Values. In this position, you will be responsible for accompanying physicians, nurse practitioners, and/or other healthcare professionals during patient visits to document the provider assessment and exam in the Electronic Medical Records System (EMR). Documents will be recorded, stored, and become official medical records for the health center.
Responsibilities (How this position enhances our Mission, Vision, and Values)
Mission – Improve the Quality of Life of Others:
- Accompany provider during patient visits to document provider assessment and exam in the EMR system to be stored and become part of the official medical record.
- Comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for keeping patient information confidential.
Vision-ODHS preferred partner in East Central Indiana for improving the well-being of individuals and the communities in which they live:
- Able to work with a high degree of precision paying attention to detail to achieve the high level of accuracy required.
- Able to appropriately document patient history, physical exams, assessments, diagnostic results, medical procedures, treatment plans, medical opinions of consultants, medication information and all other details provided during patient visit with provider.
Values - Esteem the Team, Maximize Potential, Do the Right Thing, Choose Compassion, Encourage Uniqueness:
- Proofread documents for errors and grammar.
- Refer to standard medical reference materials for clarity.
- Use medical technology to accurately convey diagnosis or treatment.
- Submit transcribed documents in patients official electronic medical records data base.
- Ability to maintain confidential information.
- Able to work unsupervised.
- Performs all other duties assigned.
About you:
- Knowledge of basic keyboarding and computer.
- Ability to read, understand, and follow detailed written and oral communication.
- Skilled in record keeping, charting, and report writing.
- Knowledge in medical terminology.
- Requires standing, walking or sitting for long periods of time. Occasional bending and stretching.
- Requires the ability to work under stressful situations.
- Requires corrected vision and hearing to normal range or use of approved adaptive equipment
Typical Working Environment: Frequent exposure to communicable diseases, toxic substance, medicinal preparations, and other conditions common to clinic environment. Tasks involve contact with blood or body substances.
Education: High School diploma or GED equivalency. Formal educations or technical college to include classes in medical assisting, medical terminology, nursing, pharmacology, sciences, etc. preferred.
Experience: Prefer experience in a health care setting. EMR experience a plus.
