Physician Scribe

2 weeks ago


Monterey, United States Cypress Healthcare Partners Full time
SUMMARY
The Scribe works to facilitate patient flow through the medical office and ensure an accurate and complete medical record for each patient. The Scribe assists the medical provider by accompanying them during the medical history-taking and exam, recording details of both into the medical record, and coordinating departmental resources regarding tests, orders, radiology and results.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
  • Record details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies
  • The Scribe enters orders and records results as directed by physician.
  • Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition
  • Assist in disposition of patient, whether discharged or admitted, including discharge instructions, admission orders, prescriptions and/or follow up appointments
  • Checks documents for errors including dates, format
  • Mails reports to outside physicians who have referred patients to the clinic or internal physicians have referred to them
  • Perform other related duties as directed or required
MONTAGE VALUES

Employees of Montage Medical Group are expected to uphold the Montage Values and Service Standards. Montage Medical Group employees find joy in caring for those we service, are dedicated to coordinating care across all settings, take ownership, collaborate to deliver the highest quality care and are entrusted to serve our community with respect.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Maintain a working knowledge of medical terminology and pharmacology and accepted abbreviations
  • Recognition of physical exam process and ability to record exam details
  • Legible handwriting and ability to accurately record information, using proper grammar and spelling
  • Ability to speak effectively with medical providers, patients and co-workers
  • EHR proficiency, Epic preferred, and ability to quickly learn new applications
  • Communication skills and the ability to coordinate and cooperate with multiple members of the health care team
  • Organizational skills with focus on tracking patient care and improving patient flow
  • Professional demeanor and recognition of privacy considerations for patients and families

EXPERIENCE: Minimum 2 years’ experience working in healthcare. Preferred scribe or medical transcription experience.

TECHNICAL: Experience working with EHRs and EMRs required, Epic highly preferred. Word, Excel, and other relevant software required.
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