Medical Scribe LPN

Southeastern Cardiology Associates, Southeastern Gastroenterology Associates, and SBD Medical Solutions strive to deliver the best care possible through a team approach. From check-in to check-out, each employee participates in delivering the highest quality of care and attention in the Southeast. Our commitment to our patient is that we will treat them like family.

We are compassionate and considerate. We are passionate about advancements in technology and patient care. We are educators and good listeners. We believe that qualified specialty care is not hard to find. However, we think that embedding a world-class group of specialists within a team that is committed to treating the patient and their loved ones is what truly sets us apart. Our job is not done when the condition is diagnosed and treated appropriately. We consider the mission accomplished when we have treated the problem and our team has communicated effectively with the patient and their loved ones. Above all, we are here to serve our patients and their families. Our team of specialized physicians, mid-levels, nurses, technicians, and staff are committed to providing the highest level of service – this team approach truly sets us apart.

Medical Scribe Responsibilities

• Accurately and thoroughly documents medical visits and procedures as they are being performed by the physician, including but not limited to: patient medical history & physical exam; patient education and explanation of risks and benefits; physician dictated diagnoses, prescriptions and instructions for patient or family members for self-care or follow-up; preparation of documents as directed by the physician
• Identifies mistakes or inconsistencies in medical documentation and check to correct the information to reduce errors. All addenda must be signed off by a physician. Ensures that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record.
• Alerts physician when chart is incomplete.
• Complies 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.

Nursing Duties

• Provides nursing care to patients and accepts delegation from assigned supervisor and/or provider in order to meet the needs of the patient/family
• Collects data and information to assist the clinical team and/or the provider in patient assessment and care planning which includes but is not limited to:

Triaging patients

Communicating through telephone encounters

Reviewing past documents

Reviewing hospitals/clinical records

Prioritizing patient assignments

Completing patient assistance and prior authorizations for medications

• Delivers care in accordance with the patient care plan, as well as in accordance with policies and procedures of the office
• Performs duties as back up for starting IV for imaging department as needed
• Assists in setting patients up with holter monitors & event monitors – includes application of monitor and explanation of patient’s duties when wearing the monitor
• Possesses excellent communication skills and participates in teamwork
• Effectively and respectfully communicates with other departments of the office
• Demonstrates cardiac related knowledge and appropriately applies knowledge to patient care
• Demonstrate excellent communication skills (verbal and written) as well as computer/electronic medical record systems skills
• Exhibit an ability to adapt to unpredictable situations within the work setting
• Holds/maintains a current LPN license and maintain Basic Life Support (BLS)
• Independently completes assignments in a timely manner
• Performs duties as alternative/substitute nurse for Coumadin clinic

Education and Qualifications

• Well-qualified MA or LPN or RN (Certification may be pending)

Corporate Culture Expectations

Demonstrates the office Corporate Culture at all times with colleagues, providers, outside offices/vendors, patients and their family members. Consistently portrays a positive attitude; excels in individual role while creating a culture of teamwork and cooperation; puts the patient/family first and regularly seeks opportunities for self-improvement as well as operational improvement.

Core Competencies

Approachability, Compassion, Customer Focus, Dealing with Ambiguity, Decision Quality, Ethics & Values, Integrity & Trust, Motivating Others, Peer Relationships, Drive for Results, Listening

Functional Competencies

Communication, Listening, Organizing, Priority, Technical Learning, Time Management, Understanding Others