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SalaryThe Medical Scribe will create and amend office notes for the attending physician. This will also include sourcing medical records from outside organizations in advance for new and established clinic patients; inspecting and scanning documents into the electronic health record; and communicating with patients before, during and after the visits to ensure all necessary information is collected and shared with relevant providers. These duties will primarily be in the outpatient clinic setting but may include inpatient consults.
Duties and responsibilities
- Collect relevant medical records from other organizations according to established HIPPA standards.
- Communicate with patients before, during and after visits to ensure all necessary information is obtained from and shared with all relevant providers.
- Create and modify as requested reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
- Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
- Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
- Identify mistakes in reports and check with doctors to obtain the correct information.
Qualifications/Education Requirements
- High school diploma or equivalent required
- Experience with creating, editing, and compiling medical documents using proper vocabulary and grammar
- College degree preferred
- Medical Scribe training and experience preferred
- Knowledge and experience with computers and medical records software preferred
- Communication skills to communicate with health care professionals and patients about patient information and work assignments
- Ability to keep patient information confidential
- Professional appearance
- Strong medical terminology
- Excellent work ethic, including integrity, positive attitude, productive, organized, treats leadership with respect, excellent attendance, continuously learning and willing to ask for help
- Ability to work efficiently and effectively in a detail oriented, fast-paced setting with medical office co-workers.
Licensure/Certification
N/A
Working conditions/ Physical requirements
Medical office setting
Hospital setting as needed
Moderate noise levels from medical setting and equipment
Standing and sitting for long periods of time
Ability to see details at close range
Ability to listen and understand information through spoken words and sentences
Ability to read and understand information in writing
Ability to communicate information in speaking so others will understand
Daily uses of hands to type, file, and write/sign documents
Minimum lifting requirements of 15 pounds
