What are the responsibilities and job description for the Medical Scribe- Fulltime Dermatology Clinic, Fern Avenue position at Ochsner LSU Health Shreveport?
This job assists Emergency Department physicians by documenting the entire medical record. Assumes responsibility for the creation and maintenance of the patient's medical record, which is done under the supervision of the attending physician. Documents the patient's history and physical, the physician's interaction with the patient, the procedures performed, the results of laboratory studies, and other pertinent information. Uses a COW (computer on wheels) which he/she takes with him/her throughout the shift. May be responsible for ordering laboratory/radiology studies, assisting with the patient's disposition, documenting consultations, and notifying the physician when important studies are completed. The Medical Scribe is not to make physical contact with or solicit information from patients, administer medication, relay verbal commands between physicians and nurses, or enter anything into a chart that has not been reviewed and approved by a physician.
Education
Knowledge Skills and Abilities (KSAs)
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Must be able to sit for prolonged periods of time.
Must be able to travel throughout and between facilities.
Must be able to work a flexible schedule (e.g. 24/7, weekends, holiday, on call availability).
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 qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required - High School diploma or equivalent
Preferred - Currently enrolled in BNBS program or recent college graduate in the medical field
Work Experience
Work Experience
Required - Experience working with medical terminology in a face-paced environment with minimal supervision
Preferred- Bilingual capabilities
Career goals in medicine including MD/DO, RN, NP, or PA
Career goals in medicine including MD/DO, RN, NP, or PA
Knowledge Skills and Abilities (KSAs)
- Must have computer skills and dexterity required for data entry and retrieval of information.
- Effective verbal and written communication skills and the ability to present information clearly and professionally.
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
- Strong interpersonal skills.
- Working knowledge of medical terminology.
- Excellent English language, grammar and punctuation skills in order to enter patient information and transcribe dictated medical reports into computer.
- Must be able to type 65 wpm accurately.
- Strong analytical, organizing and prioritizing skills.
- Ability to work and experience working in a fast-paced environment with minimal supervision and functioning calmly in a pressure situation.
- Ability to move throughout the department and facility.
- Ability to work flexible schedule with varying shifts, including nights, weekends, and holidays.
Job Duties
- Documents the history and physical exam as it is being performed (real-time) by the ED physician.
- Transcribes all ancillary test results and the interpretation of the results by the physician, including any lab tests, imaging tests, ECGs and ABGs.
- Records physician-dictated diagnoses, prescriptions and instructions for patient discharge and/or follow-up. Understands the intricacies of the ever-changing documentation requirements, resulting in more complete medical charting and alerts physician when chart is under-documented.
- Documents procedures and treatments performed by the physician or any other healthcare professional, including nurses and physician assistants.
- Checks on the progress of lab, X-ray or other patient evaluation data and notifies the physician of ancillary tests when needed.
- Assists physician in rapid throughput of patients through the system from presentation to final disposition.
- Other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental 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.
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.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Must be able to sit for prolonged periods of time.
Must be able to travel throughout and between facilities.
Must be able to work a flexible schedule (e.g. 24/7, weekends, holiday, on call availability).
Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.
The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases.
.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.
Are you ready to make a difference? Apply Today!
Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.”
