Clerical Scribe

Description

                                                                                                    Scribe

Job Summary:

Take an active role through the patient visit, scribing portions of the encounter into the patient record. Summarizing the encounter for the patient in an appropriate manner - verbal /written format as directed by the physician.

Duties/Responsibilities:

                Scribe role:

• Gather Care Coordinator: and goals for the visit
• Paraphrase/Document patient's pertinent history, and treatment plans in the EMR  - Scribing  the narrative  HX and PLAN  (possibly ROS , and PE as training and workflow develops)
• Document the PLAN section of encounter , so it is available to patient summary upon completion of visit , and opportunity to print and review with patient
• Enter Orders, Meds, Refills, Referrals as discussed during the encounter
• Where workflow permits , print and review patient education, clinical summary , and relevant printed/on screen material with the patient
• Facilitate follow up/continuity with these patients with proactive monitoring for test results, and communication/verification of results with the physician and patient as they become available
• Assume independent responsibility for review and managing patients' Immunizations , and preventive health needs , and act on them independent of the provider

                Specific Duties

• Other duties as assigned

Experience:

The individual in this role will be attending the patient’s office visit and scribing, documenting in the electronic medical record.  It will be important that this individual has a caring personality with a positive attitude; is calm under pressure and exhibits sound judgment; excellent time management and problem solving abilities with good communication skills.  Familiarity with medical terminology and correct spelling of medications is preferred.

Education Requirements:

Have appropriate certification or licensure.  Attend Continuing Education programs as requested or as required by the position

Working Conditions:

Works in a well-lighted and ventilated area; primarily standing, walking and sitting; light to moderate lifting all the time; heavy lifting occasionally

Qualifications

Experience:

The individual in this role will be attending the patient’s office visit and scribing, documenting in the electronic medical record.  It will be important that this individual has a caring personality with a positive attitude; is calm under pressure and exhibits sound judgment; excellent time management and problem solving abilities with good communication skills.  Familiarity with medical terminology and correct spelling of medications is preferred.

Education Requirements:

Have appropriate certification or licensure.  Attend Continuing Education programs as requested or as required by the position

Salary : $16