Address
Form of work
SalaryThe Medical Scribe ensures accurate and timely documentation of the medical chart under the supervision of the medical provider. The Scribe assists the provider by accompanying them during the patient exam recording detailed information into the electronic medical record (EMR). The Scribe performs other related medical record or clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction.
Responsibilities:
Responsibilities:
- Preparing and assembling medical record documentation/charts for physician(s)
- Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications
- Ensuring medical record compliance by self-documentation attestation to include Scribe name, title, and doctor working for as well as specific date and time entry
- Updating patient history, physical exam, and other pertinent health information in the patient record
- Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures
- Monitoring the duration of basic lab results and screening procedures
- Compliance with Renal Care 360° policies, including those relating to HIPAA
- Regular and reliable attendance at assigned location
- Record patients' medical history, vital statistics, or information such as test results in medical records.
- Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.
- Interview patients to obtain medical information and measure their vital signs, weight, and height.
- Show patients to examination rooms and prepare them for the physician.
- Prepare and administer medications as directed by a physician.
- Collect blood, tissue, or other laboratory specimens, log the specimens, and prepare them for testing.
- Authorize drug refills and provide prescription information to pharmacies.
- Explain treatment procedures, medications, diets, or physicians' instructions to patients.
- Clean and sterilize instruments and dispose of contaminated supplies.
- Perform routine laboratory tests and sample analyses.
- Perform general office duties, such as answering telephones, taking dictation, or completing insurance forms.
- Greet and log in patients arriving at office or clinic.
- Schedule appointments for patients.
- Help physicians examine and treat patients, handing them instruments or materials or performing such tasks as giving injections or removing sutures.
- Contact medical facilities or departments to schedule patients for tests or admission.
Qualifications:
Education/Experience: High school diploma required. College sophomore status or higher preferred. Pre-health career track preferred. Ability to demonstrate knowledge of medical terminology and human anatomy is strongly preferred.
Technical/Computer Skills: Skilled in operating various medical record software and hardware, word-processing, and database software programs; minimum of 60 WPM preferred
Core Competencies:
Ability to learn and appropriately apply basic medical terminologies and techniques taught
Strong written and verbal communication skills
Strong attention to detail and instruction
Ability to observe and to draft a narrative account of events accurately and grammatically correct
Ability to spell, proofread, and edit written documents
Keyboard proficiency (approximately 60 words/minute)
Ability to operate a personal computer and related software applications
Ability to communicate and interact professionally with physicians and other healthcare professionals
Understanding of and commitment to the appropriate protection of confidential patient information
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Ability to stand with mobility for extended periods
Ability to lift, hold, push, and pull 20 pounds
Ability to view computer monitors with close vision, color vision, depth perception, and ability to adjust your focus with good hand-eye coordination
Ability to work in a stressful and fast-paced environment
Ability to read, write, comprehend through listening, and speak fluent English
Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
Ability to handwrite legibly
Position may require working at more than one location during a scheduled workweek
