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Scribe/Medical Writer

3 months ago


Erie, United States UPMC Full time

Join Our Team at UPMC Hamot Trauma/General Surgery Are you passionate about providing exceptional patient care in a fast-paced medical environment? UPMC Hamot Trauma/General Surgery is seeking a detail-oriented and dedicated Medical Scribe to join our team. This position plays a crucial role in accurately documenting and summarizing patient visits and recommendations within our dynamic surgical practice. Why Join Us? UPMC Hamot Trauma/General Surgery offers a collaborative and supportive environment where your skills and dedication to patient care will be valued and recognized. Join a team that prioritizes excellence in healthcare delivery and patient outcomes. If you are ready to contribute to a leading healthcare institution and grow professionally as a Medical Scribe, apply now and become part of our mission to provide exceptional care to our patients at UPMC Hamot Trauma/General Surgery. This individual is responsible for providing accurate documentation and summarization of the office visits and recommendations in the context of a patient chart while maintaining patient flow and communication regarding appointment status. Responsibilities: Performs other duties as assigned, including but not limited to, answering phones, scanning, abstracting, checking patients in and out, helping with work ques, etc. Remains as close to physician as possible and limits time away from the physician and the patient. At times, guides patient to front desk after completion of exam and ensures proper follow-up appointments are made. Provides patient with assistants while they are exiting the exam room to expedite patient flow. Monitors examination room and any physical limitations that the patient may have Evaluates the condition of the exam room to ensure adequate supplies are in stock. Correctly summarizes and documents what the physician says during an examination, including but not limited to: proper charting of the examination, documenting additions to the chief complaint, assessment and recommendations for treatment (including justifications of decisions reached when appropriate). Learns the personality and preferences of each physician, recognizing differences and abiding by them when working with each particular physician. Accommodates the needs of the patient for the exam. Notifies physician of changes to the daily schedule, especially emergencies Enter charge information as designated by the physician Maintains an awareness of the patient?s verbal and non-verbal communication when the physician is providing instructions as it may necessitate the writer repeating information, providing written instructions, and/or patient educations materials for the patient to review at home. Becomes fluent in the exact requirements of each examination. Fluency in English High School Diploma and 4 years experience in a medical office, medical transcription or billing/coding required. OR Associates degree or equivalent, and two years experience in a medical office, medical transcription or billing/coding required. Basic of knowledge ICD-10 coding. Licensure, Certifications, and Clearances: CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran