Medical Scribe
1 month ago
Duties and Responsibilities:
- Chart in real-time as the provider assesses and examines the patient
- Document the history, physical exam, assessment and plan, results, procedures, treatment, and physician consultations
- Record provider-dictated diagnoses, prescriptions and instructions for patient follow-up
- Locate and obtain past medical histories, previous charts, past results and studies
- Transcribe ancillary test results and their interpretations
- Check on the progress of labs, imaging studies, and other patient data
- Understand basic ICD-10 documentation requirements
- Comply with all national and local PHI laws including HIPAA and HITECH
- Comply with all facility, department, company policies and procedures
- Perform a variety of other non-clinical tasks specific to the practice
Required Education:
- Medical Assistant or Scribe experience preferred
- Bachelor’s degree with completion of Anatomy and Physiology
- Medical Terminology required
- Clinical experience in a medical office is required, urgent care or emergency department preferred
- Knowledge and proficiency with EMR systems required
This position also requires:
- Exemplary work ethic and professionalism
- Excellent verbal and written communications skills
- The ability to multitask in high-stress environments
- A typing speed of 50+ WPM
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