Medical Scribe

DescriptionPOSITION PURPOSEThe role of the Medical Scribe is to assist medical providers in documentation of patient encounters. Scribes accompany the provider into the exam room and document the patient-provider encounter as it is verbalized in real time. Scribes require access to Electronic Medical Records to gather data for the provider, including but not limited to prior medical records and lab/radiology results. The goal of a scribe is to allow the provider to focus directly on the patient while maintaining accurate documentation. Scribes are unlicensed and do not participate in patient care. They require no training or background in the medical field. A scribe may not act independently and all documentation is reviewed and validated by the provider before submission.ESSENTIAL FUNCTIONS OF POSITIONAccompany provider into the examination area and transcribe medical findings in real timeComplete additional needed physician documentationInform the provider when lab results are completed and enter results into chartLook up pertinent medical records from prior medical visitsTrack and enter the results of radiology reportsDocument all medical procedures performed and ordered by the providerEnter the patients plan of care into the Electronic Medical Record databaseFollow all documentation compliance standardsVarious additional tasks delegated by the Lead Scribe and CorporateRequirementsKNOWLEDGE, SKILLS, AND ABILITIESAbility to work with a diverse group of individuals at all levels of the organizationStrong communication skills are required; must be able to effectively communicate thoughts and actions through various forms of communication including verbal, written and oralStrong interpersonal skills and computer literacyCommitted individual who can prioritize their workload and manage conflicting demands in order to work efficientlyAbility to work with highly confidential patient informationMust be able to speak and interpret English fluently to perform documentation effectivelyMust be able to work at least two 8 hour shifts per weekAvailability to work nights, weekends, and holidays as neededAbility to type 40+ words per minute requiredAbility to hear with or without aidesHigh school graduate or equivalent required, some college preferredCurrent or previous enrollment in Pre-Medical, Medical, or Nursing school preferredMedical terminology strongly preferred