About this role
Under the direct supervision of the Medical Unit Manager, the Medical Scribe performs all clerical and information technology functions for a physician in a specialty clinic setting, including primary responsibility for the operation of electronic health records and dictation.
Essential Duties and Responsibilities:
- Accompany physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physicians encounter with the patient and others present
- Greets all patients in a professional and friendly manner.
- Perform documentation in EHR software for physicians for all patients
- Handles confidential material while protecting its strict confidentiality under HIPPA guidelines
- Speak clearly and distinctly using appropriate vocabulary and grammar to obtain and convey information while
- Transcribe patient orders including laboratory tests, radiology tests, medications, etc
- Attends and participates 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
- Other duties as assigned
Qualifications
- Must have detailed knowledge of medical terminology and the ability to distinguish different exams and medical diagnosis.
- Experience with working with medical physicians.
- They must have exceptional organizational skills with focus on tracking patient care and improving patient flow.
- Experience utilizing an Electronic Medical Records (EMR) system is highly desirable.
- Ability to work independently and a self-starter with minimal supervision.
- Excellent oral and written communication & organizational skills.
- Obtain CPR within two weeks of hire.
- Computer proficiency
- High School Diploma or equivalent
- Bilingual preferred