Medical Scribe

About This Role

This role involves accompanying a physician during patient examinations to accurately transcribe medical histories, physical exams, and all aspects of the patient encounter into the electronic health record. The position suits a detail-oriented individual with strong medical terminology knowledge and excellent communication skills.

Responsibilities

• Accompany physician into the patient examination room to transcribe a history and physical exam, and accurately document the physician’s encounter with the patient and others present
• Greet all patients in a professional and friendly manner
• Perform documentation in EHR software for physicians for all patients
• Handle confidential material while protecting its strict confidentiality under HIPAA guidelines
• Speak clearly and distinctly using appropriate vocabulary and grammar to obtain and convey information
• Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
• Attend and participate in meetings as required
• Document any procedures performed by the physician
• List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician
• Add Chief Complaints to ECW
• Perform other duties as assigned

Requirements

• High School Diploma or equivalent
• Ability to work with people of diverse cultural, educational, social, and economic backgrounds
• Detailed knowledge of medical terminology and the ability to distinguish different exams and medical diagnoses
• Ability to work independently and as a self-starter with minimal supervision
• Excellent oral and written communication skills
• Excellent organizational skills
• Computer proficiency
• Exceptional organizational skills with focus on tracking patient care and improving patient flow
• Obtain CPR within two weeks of hire

Nice to have:

• Experience utilizing an Electronic Medical Records (EMR) system
• Bilingual preferred