Medical Scribe- Healthcare Documentation Specialist

2 weeks ago


Fresno, California, United States Sante Health Full time
Job Overview

We are seeking a highly skilled Medical Scribe to join our team at Sante Health System in Fresno, CA.

About the Role

This is a full-time position responsible for assisting physicians with accurate and efficient documentation of patient records. The ideal candidate will have a strong background in medical terminology, excellent communication skills, and the ability to work effectively in a fast-paced environment.

Key Responsibilities
  1. Accompany physicians during patient exams to document physical exams, procedures, labs, radiology orders, medications, and aftercare instructions as dictated by the physician.
  2. Document all routine procedures and ensure that documentation is complete through accurate coding.
  3. Direct observation of patient/physician interaction to correlate exam results and diagnoses.
  4. Participate in enhancing work processes within the department and the entire center as appropriate.
Requirements
  • High school diploma or equivalent required; 2 years of experience as a scribe, transcriptionist, or related role in a medical practice environment preferred.
  • Maintain continuing education in medical terminology and coding.
  • Knowledge of medical terminology, CPT-4 and ICD-9 coding, and medical practice and procedure.
  • Skill in correct spelling, grammar, and use of the English language.
  • Skill in operating basic office equipment.
  • Skill in written and oral communication with providers, patients, and staff.
  • Ability to speak clearly and concisely.
  • Ability to concentrate and pay close attention to detail for extensive periods of time.
  • Ability to use designated reference materials.
  • Ability to work under pressure with time constraints.
  • Ability to adhere to work schedule and adapt to changing work conditions.
Benefits

We offer competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement.

Location

This position is located in Fresno, CA, and offers a unique opportunity to work with a dynamic team in a fast-paced healthcare environment.

Estimated Salary Range

$45,000 - $60,000 per year, depending on experience.



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