What are the responsibilities and job description for the Clerical Scribe position at Primary Care Partners Inc?
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 patients 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
Experience:
The individual in this role will be attending the patients 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