Summary of Performance Expectations.
The Medical Scribe supports physicians by entering clinical documentation on their behalf. Accompanies one physician at a time and directly observe that physician's encounters with patients. Accurately documents clinical information and events that occur during a patient visit in the electronic medical record. Also assists the physician by entering orders for tests, treatments and medications on their behalf. Enters data into the electronic medical record, ensuring the EHR is complete and accurate. Gathers and documents clinical information from other current or historical records under the direction of the physician. Performs other duties that improve the efficiency of the physician such as, assisting with medication reconciliation, documenting procedures, and providing communication assistance (message to other providers, scanning, printing or copying medical records). The Medical Scribe will have no patient care responsibilities or offer clinical oversight.
Education and Credentials:
Required
High School diploma or equivalent. RHIT, Certified Nursing Assistant, Certified Medical Assistant or Health Science student with customer service background. BCLS certification. If the BCLS certification is not from the American Heart Association (AHA), an AHA certification is required within three months of employment date or placement in position.
Preferred
Sophomore College level healthcare student (nursing, physician, physician assistant, etc.).
College level coursework including health or medical related courses.
Work Experience:
Required
One year of clinical or healthcare related experience or six months' experience as a Medical Scribe. Diagnosis, medical, procedural coding knowledge. May consider a healthcare student enrolled in an accredited program in place of experience. Given training and on-the-job experience incumbent should be proficient in the basic aspects of the job within three months of employment date or placement in position.
Preferred
Electronic Health Record (EHR)
About Catawba Valley Medical Center
COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY
As the region's largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.
Our mission: Exceptional Healthcare. Every Person. Every Time.
At A Glance:- North Carolina's first and only 5-time Magnet recipient for nursing excellence
- Region's only level III Neonatal Intensive Care Unit (NICU)
- Women's Choice Award winner for America's Best 100 Hospitals for Patient Experience for six consecutive years
- American College of Surgeons Accredited Comprehensive Community Cancer Center
HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS
Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.
One of our goals at Catawba Valley Medica Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.
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