The successful applicant will be responsible for documenting accurate and detailed information of patient visits. The ideal candidate will provide the highest quality customer service to patients, adhere to practice protocols and processes, and effectively manage the volume of work without allowing quality to be compromised.
Prepare charts for physicians prior to each session, including reviewing previous notes for patient, creating office note for upcoming visits and populate it with relevant data from previous visits and history
Accompanies physician during consultation and examination. Transcribes details of the interview and physical exam per physical instruction utilizing medical terminology and documentation guidelines within the EMR. Completes all necessary documentation of the patient encounter in the medical chart including entering orders as dictated by the physician
Maintains a list of patient tests keeping track of results as they become available
Scans and files lab reports/test results and charts via electronic medical record alerting the physician as laboratory or radiology results become available. Follows up on lab reports and tracks any missing or delayed studies
Prepares discharge instructions for the physician to review with the patient
Scribes may not act independently but documents the physician's or licensed independent practitioner's dictation and/or activities
0-1 years of experience must possess strong organizational skills and be detail oriented
Language Skills – The ability to write routine reports and correspondence. Medical Scribes must be proficient in typing and good at spelling, punctuation, grammar, and oral communication. Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills required to generate professional, polished writing at a high rate of production. Handwriting must be clear and legible.
Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports. Translate medical abbreviations into their expanded forms.