Medical Scribe

A Medical Scribe’s responsibilities include collaborating with physicians and performing clerical tasks like printing out lab reports or charting doctor’s appointments, operating electronic health records, and anticipating the needs of the physician to ensure efficiency in a clinical setting.

• Preparing and assembling medical record documentation/charts for the physician
• Updating patient history, physical exam, and other pertinent health information in the patient
• Organizing and sending all documentation to physician for review
• Fill out summaries of what was discussed during the consultation or treatment session
• Send referral letters on behalf of your patient’s insurer.
• Taking notes during patient visits and documenting them in the electronic health records system, NextGen
• Learning about the medical process and using a team approach in patient supervision and documentation
• Working with a supervising Physician or Doctor to complete and submit medical records
• Communicating with patients and supervising Physicians professionally
• Completing all administrative tasks efficiently and helping the Physician take tests and give out medication

• Complies with Policies and Procedures and adheres to safety guidelines to ensure a safe work and patient care environment.

To perform this job successfully, an individual shall be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND EXPERIENCE

• High school graduate or equivalent
• Graduate of an accredited Medical Assistant program or comparable experience.
• One year’s medical office experience preferred.
• Current CPR certification required. Medical Assistant Certification a plus.
• Must be self-directed and able to work independently.
• Attention to detail a must.

• Professional, calm, and courteous demeanor
• Excellent verbal and written communication skills

COMPUTER SKILLS

• Proficient computer skills in Microsoft Office including Outlook, Excel, and Word
• Experience with NextGen EMR system is a plus!

• Safety and Confidentiality - Follows OSHA regulations and the safety guidelines of the Practice. Follows HIPAA policies and procedures. Respects and maintains patient confidentiality. Use CPR skills when necessary.
• Organization — Uses time efficiently by prioritizing and planning work activities; is methodical and efficient in structuring tasks to be accomplished.
• Professional Maturity — The ability to separate emotional feelings from the real issues at hand. The ability to legitimately and objectively challenge the substance of our beliefs and biases of our observations.

• Time Management — Managing one's own time and the time of others; the ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).

• Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

• Interpersonal Communication — Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation 
• Communication — The ability to write and speak effectively using appropriate convention based on the situation; actively listens to others, asks questions to verify understanding, and uses tact and consideration when delivering feedback to others.  

Physical Demands: Anticipate lifting 20-25 pounds in any given day. Lifting up to 40-50 pounds may occasionally be required, depending on the specific style or type of care provided. In the performance of certain patient care tasks, the Medical Assistant may be expected to have sufficient manual dexterity in order to safely perform various skills and techniques. Tasks and expectations may vary by clinical site and medical practice. Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner. May be exposed to acutely ill patients, communicable diseases, blood borne pathogens, and airborne allergens used during skin testing and immunotherapy.

Well-lighted, heated and/or air-conditioned indoor office setting with adequate ventilation; Moderate noise (examples: business office with computers and printers, light traffic). Typical schedule is Monday through Friday with regular working hours; Occasional overtime may be required.