Clinical Medical Scribe

3 weeks ago

Encinitas, United States Integrated Oncology Network, LLC Full time
Partnering With Physicians To Provide Best In Class Patient Care

Founded in 2002, Integrated Oncology Network is committed to helping our physicians deliver the right care, at the right time and in the right setting. We strongly believe that preserving the independent practice of medicine where patients are cared for closer to home and surrounded by our dedicated clinicians yields better outcomes. By creating a care continuum between our clinicians, patients and their support networks we deliver an unparalleled approach to the patient's care journey.

Job Purpose:

Duties include 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. You also must be able anticipate physician needs to facilitate the flow of clinic.

Duties:
  • 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 and prepare referral letters as directed by the physician
  • Dictation/faxing/phone calls and clerical tasks. Prepare referral letters as directed by the physician, via dictation or summary of the medical record. Ensure that letters are mailed or faxed on a daily basis to all physicians involved in a patient's care, and with all copies of pertinent reports or tests attached. Research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and other clerical tasks as assigned.
  • 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.
  • 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.
  • Collect, organize and catalog data for physician quality reporting system and other quality improvement efforts and format for submission. Assist in developing and maintaining systems to track patient follow up and compliance.
  • Contributes to team effort by accomplishing related results as needed.
  • Perform any other functions as required by management.
Qualifications and Education Requirements
  • Strong understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand accurately transcribe dictated reports.
  • Demonstrated ability to write routine medical reports and correspondence.
  • Ability to work a flexible schedule (including overtime, and weekends, as necessary.
  • Functional understanding of electronic medical record software and transcription software.
Preferred Skills
  • Oncology experience

Required Competencies

Excellent judgment, dependability, conscientious performance. Detail oriented. Exceptional interpersonal and communication skills. Caring and empathic. High ethical standards. Mechanical ability and manual dexterity for operating complicated equipments.

Physical Demands and Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing the duties of this job, employee is required to walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach hands and arms; talk and hear. Employee must lift and/or move 20 pounds. Specific vision abilities required by the job include close vision, distant vision, color vision, peripheral vision, depth perception, speech clarity, climb, balance, and stoop, kneel, bend and crawl.

Work environment: While performing the duties of this job, the employee is exposed to environmental risk of radiation exposure, and biohazard exposure.

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