What are the responsibilities and job description for the Medical Scribe position at Integrated Psychiatric Consultants?
Job Overview:
A Medical Scribe is responsible for accurately documenting patient encounters and medical data into electronic health records (EHR) systems. The scribe works alongside healthcare providers, allowing them to focus more on patient care by handling the clerical tasks.
Key Responsibilities:
- Documenting Patient Interactions: Accurately record patient histories, symptoms, diagnoses, treatment plans, and medical orders as provided by the healthcare provider during patient visits.
- Charting in EHR Systems: Enter data into electronic health records systems in real-time, ensuring all patient information is properly documented and updated.
- Assist with Patient Flow: Help manage patient flow by preparing charts and assisting with organizing patient care activities.
- Provide Support for Healthcare Providers: Work alongside physicians, nurses, and other healthcare staff to improve efficiency and ensure proper documentation.
- Ensure Accuracy: Review charts to ensure complete and accurate documentation, including medications, allergies, lab results, and imaging studies.
- Assist with Other Administrative Tasks: Help with tasks such as scheduling follow-up appointments, coordinating with labs, or handling prescription orders.
- Confidentiality and Compliance: Maintain patient confidentiality by adhering to HIPAA guidelines and hospital policies.
Required Skills and Qualifications:
- High School Diploma or Equivalent: A minimum requirement; some positions may require a degree in a health-related field.
- Strong Typing Skills: Ability to type quickly and accurately to keep up with real-time documentation.
- Knowledge of Medical Terminology: Familiarity with basic medical terms and procedures.
- Attention to Detail: Ability to maintain accuracy while documenting complex medical information.
- Communication Skills: Strong verbal and written communication skills to interact effectively with healthcare providers and patients.
- Adaptability: Ability to work in fast-paced environments and adapt to different specialties.
- EHR Software Proficiency: Experience or willingness to learn electronic health record (EHR) systems.
Preferred Qualifications:
- Previous Experience: 2 years of prior experience working in a medical setting or as a scribe.
- Certification: Medical Scribe Certification (such as through the American Healthcare Documentation Professionals Group) may be preferred.
Work Environment:
- Location: On-site psychiatric inpatient unit in Olathe.
- Shifts: Full-time with varied shifts and at least one weekend a month.
This role plays a critical part in ensuring that medical documentation is accurate, timely, and easily accessible, which helps enhance the overall efficiency and quality of patient care.
