About This Role
Working under the direct supervision of the Medical Unit Manager, the Medical Scribe handles all clerical and information technology tasks for a physician in a specialty clinic. This includes taking primary responsibility for operating electronic health records and dictation.
Responsibilities
- Accompany physician into the patient examination room to transcribe history and physical exams, 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