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Summary:
Reporting to Client Service Management, the Medical Scribe ensures accurate and timely documentation of the medical chart under the supervision of the medical provider. The Scribe assists the provider by accompanying them during the patient exam recording detailed information into the electronic medical record (EMR). The Scribe performs other related medical record or clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction.
Essential Duties and Responsibilities:
● Preparing and assembling medical record documentation/charts for physician(s)
● Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications
● Ensuring medical record compliance by self-documentation attestation to include: Scribe name, title and doctor working for as well as specific date and time entry
● At the direction of the physician, updates all components of the patient's medical record including subjective and objective information, physical exam and any other pertinent clinical information ● Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures
● Monitoring the duration of basic lab results and screening procedures
● Compliance with hospital and ProScribe policies, including those relating to HIPAA and Joint Commission
● Regular and reliable attendance at assigned facility required
● Demonstrate the ability to communicate effectively in English and in the Spanish language, both orally and in writing, using proper grammar and vocabulary
● Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience:
● High school diploma required. College sophomore status or higher preferred. Pre-health career track preferred.
● Ability to demonstrate knowledge of medical terminology and human anatomy strongly preferred
Technical/Computer Skills: Skilled in operating various medical record software and hardware, word-processing, and database software programs; minimum of 60 WPM preferred.
Core Competencies:
● Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job.
● Strong written and verbal communication skills in both English and Spanish
● Ability to observe and to draft a narrative account of events accurately and cogently, in grammatically-correct English and/or Spanish
● Ability to spell proofread and edit written text.
● Keyboard proficiency (approximately 60 words/minute).
● Ability to operate a personal computer and related software applications.
● Strong attention to detail.
● Ability to work in a dynamic, highly-stressful environment that routinely involves exposure to highly-sensitive personal medical issues.
● Ability to multitask, coordinate multiple projects and patients.
● Ability to problem solve under pressure.
● Ability to communicate and interact professionally with others.
● Understanding of and commitment to appropriate protection of confidential patient information. Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
● Ability to stand with mobility for extended periods of time
● Ability to lift, hold, push, and pull 20 pounds
● Ability to view computer monitors with close vision, color vision, depth perception and ability to adjust your focus with good hand-eye coordination.
● Ability to work in a stressful and fast-paced environment
● Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
● Position may require work at more than one location during a scheduled work week. Performance Assessment:
Performance will be assessed in a written format in Spanish during a 90-day probation period.
The job duties listed in this job description may not be inclusive of all requirements of this position. Other duties may be assigned based on management discretion.
Job Types: Full-time, Part-time
Pay: $10.50 - $11.50 per hour
Benefits:
Schedule:
Education:
Experience:
Work Location: Multiple locations
Full Time | Part Time
Retail
05/13/2024
09/08/2024
proscribemd.com
HILL COUNTRY VILLAGE, TX
25 - 50
2010
TOBY MULLIGAN
<$5M
Retail