Medical Scribe
2 weeks ago
Shift: Days (Monday-Friday)
Job Summary:
The purpose of this position is to support Registered Musculoskeletal Sonographer by entering clinical documentation on their behalf. Medical scribes directly observe the sonographer's encounters with patients. Scribes accurately document clinical information and events that occur during a patient visit. Medical scribes also assist the sonographer to spend more time directly engaged with his or her patients. Under the direction of the Registered Musculoskeletal Sonographer, this employee also assists in the transport and turnover of patients to Ultrasound. Regular attendance is an essential part of this job.
Essential Functions:
- Accurate, timely documentation of patient encounters in SRS, including but not limited to, documentation of patient history, physical exams, diagnostic findings, lab and test results, problem lists, allergies, medications, diagnoses, progress notes, after visit summaries/ patient education, prescriptions, and referrals.
- Compliance with all clinical policies relating to confidentiality and professional behavior.
- Completion of training required by all new clinic employees.
- Assists in appointment scheduling of ultrasound
- Maintains ongoing telephone communications between departments in the organization and Ultrasound
- Assists with prioritizing daily patient schedules
- Reviews patient chart and physician orders
- Answers phones and triages add-on patients
- Prepares patients for scans
- Coordinates turnover of exam rooms and preparing for the next procedure
- Maintains supplies for the modalities
- Change linen bags each day
- Cross covers as needed within overall operations of the Practice
Job Qualifications:
- Prior experience with medical transcription or previous scribe experience preferred
- Knowledge of medical terminology preferred and ability to learn and apply new medical terminology on the job.
- Must have excellent listening skills, including the ability to carefully and accurately listen to complex medical information and summarize in a clear, complete and concise fashion. Strong verbal communication skills to convey information through oral report.
- Demonstrated strong written and verbal communication skills.
- Ability to move quickly and efficiently in the workspace.
- Ability to spell, use spellchecker, edit written text and work proficiently in Microsoft Word.
- Demonstrated keyboard proficiency (approximately 40-50 wpm).
- Ability to operate a personal computer and use relevant computer applications.
- Ability to work in a busy environment which involves HIPPA protected medical information and multiple interruptions.
- Must have excellent English composition skills and the ability to write routine reports and correspondence with proficiency in typing, spelling, punctuation, and grammar
- Ability to work with all doctors and staff
- Continuous standing during shift, repetitive typing, and ability to push and maneuver a portable computer station.
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