Medical Scribe

2 weeks ago


Grand Forks, United States Altru Health Full time
Location:
Altru Hospital

1200 S.Columbia Rd.

Grand Forks, ND 58201

Pay Range: -

Summary:
The medical scribe is responsible for supporting the organization's commitment to patient care and assisting physicians within Altru Health System. The medical scribe demonstrates knowledge of medical documentation, clinical terminology, and facilitates communication between hospital staff to improve quality of life and efficiency within the department. The medical scribe performs thorough documentation of patient encounters, assignment of physicians to patients, and updates status of patients to ensure optimal patient experience and to alleviate physician workload.

Essential Job Functions:
  • Perform thorough documentation of patient encounters, which includes history of present illness (HPI), patient chart or prescription medication review, review of systems (ROS), physical examinations (PE), electrocardiogram results (EKG) dictated by the physician, and discharge or hospital admission orders.
  • Assist the physician in reviewing past medical, immunization, surgical, and prior encounter history.
  • Assist in assignment of physicians to patients and ensure accurate time documentation of patient interactions.
  • Assist in direct patient care needs under the supervision of the provider to include but not limited to; rooming patients, assisting with transfers, etc.
  • Perform other duties as assigned.
Certification:

Physical Demands :
• Sit: Frequently (34-66%)

• Stand: Frequently (34-66%)

• Walk: Frequently (34-66%)

• Stoop/Bend: Occasionally (5-33%)

• Reach: Frequently (34-66%)

• Crawl: Rarely (1-4%)

• Squat/Crouch/Kneel: Occasionally (5-33%)

• Twist: Occasionally (5-33%)

• Handle/Finger/Feel: Continuously (67-100%)

• See: Continuously (67-100%)

• Hear: Continuously (67-100%)

Weight Demands:
• Lift -Floor to Waist Level: Sedentary (
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