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Medical Scribe
4 months ago
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
Overall responsibilities include but are not limited to:
- Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to: patient medical history and physical exam, procedures and treatments performed by providers and nursing staff, patient education, physician-dictated diagnoses, prescriptions, and instructions.
- Preparation of referral letters as directed by the physician, coordinate referrals, prepare operative reports, and other clerical tasks as assigned.
- Collect, organize, and catalog data for physician quality reporting system and other quality improvement efforts.
- Assist in developing and maintaining systems to track patient follow up and compliance.
- List all proper admission or discharge diagnoses as well as follow-up care instructions as dictated by provider.
- Document the time and reasoning for, but not electronically submit, patient orders including lab tests, radiology tests and medications.
- Successfully navigate the location-specific Electronic Medical Record (or EMR) system to input documentation.
- Inform provider(s) when diagnostic studies are completed, prepare for review, and document in EMR.
- Work under pressure, within time constraints. Must be able to act calmly and effectively in a busy or stressful situation.
- Exhibit excellent listening skills.
- Concentrate on the needs of the provider(s) throughout entire shift.
- Understand and observe legal concepts (e.g. HIPAA, confidentiality).
- Maintains professional appearance (uniform as specified) and conduct at all times.
- Adhere to and observe company and client partner work practices (e.g. cell phone use, food/drink policies).
- Establish and maintain effective working relationships with provider(s), staff, and management.
- Comply with HIPAA confidentiality standards when accessing or communicating patient information.
- Perform other duties as assigned within scope of position.
Education/experience
- HS Diploma/GED required; prefer 2 years college.
- Degrees in the Sciences and Pre-health track preferred. Anatomy, physiology, medical terminology courses are highly desired in individuals with non-science degrees.
- One year of experience as a Medical Scribe or Medical Assistant.
Key Competencies:
- Writing Skills - knowledge and demonstration of proper grammar and spelling in documentation, ability to write concisely, clearly, and logically. Exhibit legible handwriting.
- Typing Skills - ability to type accurately at 45 wpm + is preferred.
- Exhibit excellence in medical terminology and billing & coding knowledge in all documentation.
- Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
- Client Service - ability to respond to and anticipate needs, including process constructive critical feedback.
- Interpersonal Relations - ability to exhibit understanding and respect of others to support and maintain professional relationships.
- Demonstrated ability to learn and use all functions of electronic medical record software and transcription software. Must accurately enter data into a database, search for information, send and receive email and attachments.
- Personal and professional ethics in observance of legal requirements and company standards.
- Ability to maintain and adjust to changing needs of provider(s) and to location as a whole.
- Multi-task efficiently and effectively as required.
- Proficient with MS Office Suite (Word, Excel) and web-based applications
- Strong verbal and written communications skills.
- Detail oriented with strong organizational skills.
- Ability to prioritize multiple responsibilities and manage a large workload within tight deadlines.
- Committed to customer service.
- Demonstrated research and problem-solving skills.