Medical Scribe

4 weeks ago

Osage Beach, United States Boone Health Full time
Job Description

Additional Job Information
  • 40 Hours per Week
  • Monday through Friday
  • 8:00 a.m. to 5:00 p.m.
  • Benefits Eligible

Overview

Job Summary:

A summary of a Medical Scribes duties includes performing all clerical and information technology functions for a physician in a clinic setting. This includes primary responsibility of the operation of the electronic health records and electronic dictation system. Must be able anticipate physician needs to facilitate the flow of clinic. Medical Scribes must be discreet, tactful, and modest in performance of duties so as not to distract medical staff from patient care. Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated are especially important when working as a Medical Scribe.

Job Responsibilities:
  • 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 healthcare professionals, including nurses and physician assistants; patient education and explanations of risks and benefits; physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up; prepare referral letters as directed by the physician
  • Dictation/faxing/phone calls and clerical tasks. Medical Scribes are asked to prepare referral letters as directed by the physician, via dictation or summary of the medical record. Medical Scribe also ensure that letters are mailed or faxed daily to all physicians involved in a patient's care, and with all copies of pertinent reports or tests attached. You may be asked to research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and other clerical tasks as assigned.
  • Medical Scribes also spot mistakes or inconsistencies in medical documentation and check to correct the information to reduce errors. All addenda must be signed off by a physician. Medical Scribes ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record. Alert physician when chart is incomplete. Medical Scribes must comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential.
  • Medical Scribes collect, organize and catalog data for physician quality reporting system and other quality improvement efforts and format for submission. You will assist in developing and maintaining systems to track patient follow up and compliance.
  • Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing, and coding. Quickly assimilate new knowledge into processes and procedures. Medical Scribes proofread and edit all the physician's medical documents for accuracy, spelling, punctuation, and grammar.

Minimum Qualifications:
  • Degrees: High School Diploma or GED
  • Experience: 2-5 years
  • Supervisor Experience: None-Required
  • Licenses & Certifications: None- Required

Preferred Qualifications:
  • Degrees: Associates
  • Experience: 5-10 years in a healthcare setting
  • Licenses & Certifications: Medical Scribe Certification

Work Shift
Day Shift (United States of America)

Scheduled Weekly Hours
40

Legal Statement

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

Equal Opportunity Employer

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