Job Description

Medical Scribe JD Overview: The Medical Scribe ensures accurate and timely documentation of the medical chart under the supervision of the medical provider. The Scribe assists the provider by accompanying them during the patient exam and recording detailed information into the electronic medical record (EMR). The Scribe performs other related medical record or clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction. Responsibilities: o Preparing and assembling medical record documentation/charts for physician(s) o Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications o Ensuring medical record compliance by self-documentation attestation to include: Scribe name, title, and doctor working for as well as specific date and time entry o Updating patient history, physical exam, and other pertinent health information in the patient record o Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures o Monitoring the duration of basic lab results and screening procedures o Compliance with hospital and ProScribe policies, including those relating to HIPAA and Joint Commission o Regular and reliable attendance at assigned facility required o Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned Qualifications: o Education/Experience: High school diploma required. College sophomore status or higher preferred. Pre-health career track preferred. Ability to demonstrate knowledge of medical terminology and human anatomy is strongly preferred. o Technical/Computer Skills: Skilled in operating various medical record software and hardware, word-processing, and database software programs; minimum of 60 WPM preferred Core Competencies: o Ability to learn and appropriately apply basic medical terminologies and techniques taught o Strong written and verbal communication skills o Strong attention to detail and instruction o Ability to observe and to draft a narrative account of events accurately and grammatically-correct o Ability to spell, proofread, and edit written documents o Keyboard proficiency (approximately 60 words/minute) o Ability to operate a personal computer and related software applications o Ability to communicate and interact professionally with physicians and other healthcare professionals o Understanding of and commitment to the appropriate protection of confidential patient information Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. o Ability to view computer monitors with close vision, color vision, depth perception, and ability to adjust your focus with good hand-eye coordination o Ability to work in a stressful and fast-paced environment o Ability to read, write, comprehend through listening, and speak fluent English o Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods o Ability to handwrite legibly o Position may require working at more than one location during a scheduled workweek Experience: o Typing: 1 year (Preferred) o Medical terminology: 1 year Location: Benefits: o 401(k) o Dental Insurance o Health insurance o Paid time off o Paid training o Vision insurance