POSITION PURPOSE
The role of the Medical Scribe is to assist medical providers in documentation of patient encounters. Scribes accompany the provider into the exam room and document the patient-provider encounter as it is verbalized in real time. Scribes require access to Electronic Medical Records to gather data for the provider, including but not limited to prior medical records and lab/radiology results. The goal of a scribe is to allow the provider to focus directly on the patient while maintaining accurate documentation. Scribes are unlicensed and do not participate in patient care. They require no training or background in the medical field. A scribe may not act independently and all documentation is reviewed and validated by the provider before submission.
ESSENTIAL FUNCTIONS OF POSITION
Accompany provider into the examination area and transcribe medical findings in real time
Complete additional needed physician documentation
Inform the provider when lab results are completed and enter results into chart
Look up pertinent medical records from prior medical visits
Track and enter the results of radiology reports
Document all medical procedures performed and ordered by the provider
Enter the patients plan of care into the Electronic Medical Record database
Follow all documentation compliance standards
Various additional tasks delegated by the Lead Scribe and Corporate
KNOWLEDGE, SKILLS, AND ABILITIES
Ability to work with a diverse group of individuals at all levels of the organization
Strong communication skills are required; must be able to effectively communicate thoughts and actions through various forms of communication including verbal, written and oral
Strong interpersonal skills and computer literacy
Committed individual who can prioritize their workload and manage conflicting demands in order to work efficiently
Ability to work with highly confidential patient information
Must be able to speak and interpret English fluently to perform documentation effectively
Must be able to work at least two 8 hour shifts per week
Availability to work nights, weekends, and holidays as needed
Ability to type 40 words per minute required
Ability to hear with or without aides
High school graduate or equivalent required, some college preferred
Current or previous enrollment in Pre-Medical, Medical, or Nursing school preferred
Medical terminology strongly preferred
WORKING RELATIONSHIPS
Scribes will work directly under the guidance of a provider. They may also work alongside Scribe Trainers, Educators, and Bedside Trainers.
REPORTING RELATIONSHIPS
Scribes will directly report to the Lead Scribe for their designated location. The position also may report to the Regional Lead Scribe and the Corporate Lead Scribe. Scribes may have continued contact and direction from the Director of Operations of iScribeMD.
WORKING CONDITIONS
Works in a clinic environment with possible high stress levels. Required to carry a laptop from room to room. Will be walking and standing for the entirety of the shift.