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Form of workJob Description
JOB SUMMARY: Under direct supervision, improves chart quality by accurately documenting the physician's medical findings and treatment plan in order to allow the physician to focus on patient care.
EDUCATION/EXPERIENCE: High school diploma or GED equivalent with one year clerical or office experience.
LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A ESSENTIAL FUNCTIONS:
1. Accompanies the physician to medical exams, and reports in writing the patient's history, medications, physical examination, and patient orders that result from the visit.
2. Records the results of ordered tests once returned by lab. Completes the chart by writing the discharge and follow-up instructions.
3. Verifies the chart for appropriate coding level. Reviews the chart and ensures it has been documented correctly for the designated code.
4. Ensures the physician reviews the chart for accuracy. Obtains physician's signature for each encounter.
5. Relays messages to the nursing staff, medical technicians, and/or the patient to expedite patient flow throughout the department.
6. Performs other related duties incidental to work described herein.
SKILLS/QUALIFICATIONS: Excellent oral and written communication skills Experience in a healthcare or medical environment Knowledge of medical terminology
WORK ENVIRONMENT: Medical office
About Us
Wake Forest Baptist Health and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.
This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.
Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina and part of Atrium Health Enterprise. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.
About the Team
Mission, Vision and Culture Commitments
Mission
To improve health, elevate hope and advance healing - for all.
Vision
To be the first and best choice for care.
Culture Commitments
We create a space where all Belong
We Work as One to make great things happen
We earn Trust in all we do
We Innovate to better the now and create the future
We drive for Excellence - always
JOB SUMMARY: Under direct supervision, improves chart quality by accurately documenting the physician's medical findings and treatment plan in order to allow the physician to focus on patient care.
EDUCATION/EXPERIENCE: High school diploma or GED equivalent with one year clerical or office experience.
LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A ESSENTIAL FUNCTIONS:
1. Accompanies the physician to medical exams, and reports in writing the patient's history, medications, physical examination, and patient orders that result from the visit.
2. Records the results of ordered tests once returned by lab. Completes the chart by writing the discharge and follow-up instructions.
3. Verifies the chart for appropriate coding level. Reviews the chart and ensures it has been documented correctly for the designated code.
4. Ensures the physician reviews the chart for accuracy. Obtains physician's signature for each encounter.
5. Relays messages to the nursing staff, medical technicians, and/or the patient to expedite patient flow throughout the department.
6. Performs other related duties incidental to work described herein.
SKILLS/QUALIFICATIONS: Excellent oral and written communication skills Experience in a healthcare or medical environment Knowledge of medical terminology
WORK ENVIRONMENT: Medical office
About Us
Wake Forest Baptist Health and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.
This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.
Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina and part of Atrium Health Enterprise. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.
About the Team
Mission, Vision and Culture Commitments
Mission
To improve health, elevate hope and advance healing - for all.
Vision
To be the first and best choice for care.
Culture Commitments
We create a space where all Belong
We Work as One to make great things happen
We earn Trust in all we do
We Innovate to better the now and create the future
We drive for Excellence - always
