Southeast. Always the right career direction. Job Description Summary The duties of a Scribe are to document the physician dictated patient history, physical examination, family, social, and past medical history as well as document procedures, lab results, dictated radiographic impressions made by the supervising physician and any other information pertaining to the patient’s encounter in the Emergency Department or other clinical medical setting. Scribes are not patient care providers; they are the physician’s representative. Job Description Outline of Essential Functions: Scribes accompany the provider upon patient interview and examination. Scribes document the provider dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies. Scribes document physical examination findings and procedures as performed by the provider. Scribes document the results of laboratory and radiographic studies as dictated by the provider. Scribes document the correct time of patient care related activities, including provider-to-provider communication, family communication and re-examination of the patient. When the provider concludes the patient’s encounter, the provider will review all documentation completed by the scribe, make any necessary amendments and sign the chart. The provider is ultimately responsible for documentation of the patient’s encounter. The provider and the scribe will make “chart rounds” to review patient status, delays and any other care-related issues on an as needed basis. The provider and not the scribe must communicate all orders for patient care unless the scope of the scribe allows for verbal order communication Additional Responsibilities: Maintain and demonstrate an understanding of the team approach to patient care and documentation. Complete and present the medical record in collaboration with the supervising physician. Must comply with Scribe “Policy and Procedure”. Qualifications Minimum Experience Required Medical terminology knowledge with previous experience working in the medical field CMA/LPN Certified Medical Scribe Minimum Experience Preferred College students working on a medical degree Previous medical scribe experience Candidates with experience in the medical field Minimum Education Required High school diploma Minimum Education Preferred Medical Scribe Certification Required Skills/Abilities Advanced Computer Skills Excellent written and verbal communication skills Strong organization, multitasking and time management skills Shift Day Shift Details First FTE 1 Type Regular Join one of Forbes 500 best mid-sized employers in America. Equal Employment Employer Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities. Let's connect! Submit your resume to connect with one of our recruiters. Watch this three-minute film showcasing our history, team members, community and future. Join an award-winning team with a commitment to provide our patients with the safest care possible. Learn more about the Leapfrog Hospital Safety Grade of “A” that we recently earned in this news story. Southeast Health Medical Center Earns an ‘A’ Leapfrog Hospital Safety Grade We’re one of the area’s largest employers, and we’ve also been named as one of Alabama’s best employers, according to Forbes. Learn more in this news story. Southeast Health named to the Forbes Best-in-State Employers 2022 List Southeast Health is an academic community-based health system serving the healthcare needs of 460,000 residents in southeast Alabama, southwest Georgia, and the Florida panhandle. The organization includes, Southeast Health Medical Center, a 420-bed hospital with the region’s largest medical group and the Alabama College of Osteopathic Medicine (ACOM), the state’s largest medical school. The philanthropic arm of the organization is the Southeast Health Foundation, and its population health division is Southeast Health Statera Network. Southeast Health, a not-for-profit organization, exists to promote healing, prevent disease, educate medicine’s brightest minds, and bring wellness and prosperity to the region it serves. Delivering excellent patient care and top-notch educational experiences begins with great employees, which is why we constantly strive to improve the work experience for our 3,000 team members.