Physician Practice Scribe
4 weeks ago
Reports to: Office Supervisor
General Summary:
Performs clerical electronic medical record functions for a provider in a clinic setting, including primary responsibility for the operation and documentation within the electronic medical record. The primary goal is to increase the efficiency and productivity of the provider. This position does not have direct involvement in patient care.
Essential Job Functions*:
- Accurately and thoroughly document office visits and procedures as they are being performed by the provider, including but not limited to:
- Document patient history and physical exam
- Document procedures and treatments performed by providers and nurses
- Patient education and explanations of risks and benefits,
- Document provider-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up
- Takes and loads photos into the EMR, as instructed by the clinical team.
- Conducts professional, non-intrusive interaction with patients.
- Maintains compliance with Speare administrative and clinical policies.
- Performs other duties as required or assigned.
Qualifications:
- Education
- Licensure/Certifications/Registrations
Required: None
- Other Skills/Knowledge
- To perform this job successfully, an individual should be able to learn and use all functions of electronic medical record software
- Proficient typing skills
- Knowledge of medical terminology
- Accuracy in spelling, punctuation, grammar, and oral communication
- Ability to multitask with high attention to detail and trustworthiness
- Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion
- Ability to apply common sense understanding to carry out instructions
- Ability to refer to reference materials to solve problems
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