Medical Scribe

Sep 13, 2016
Oct 11, 2016
Employer Type
Direct Employer
Employment Type
Full Time
Job Description:

Job Title: Medical Scribe FLSA Status: Non-Exempt Type: Part-time/Full-time Department: Operations Reports To: Chief Scribe A Scribe is trained to relieve the provider of clerical duties; thus allowing the provider to focus more directly on clinical care. A Scribe's role is limited to documentation and efficiency management for the provider. The Scribe is an unlicensed person and exclusively non-clinical. The Scribe does not touch patients and does not engage in any type of patient care. The Scribe observes the provider during patient encounters and performs documentation on the provider's behalf. Under the direction of the provider, the Scribe enters information into the patient's electronic or written chart. All documentation is reviewed and/or edited by the provider. It is signed with an attestation by the provider that the scribed chart accurately reflects all work performed by the provider. Duties and ResponsibilitiesChart in real-time as the provider assesses and examines the patientDocument the history, physical exam, assessment and plan, results, procedures, treatment, and physician consultationsRecord provider-dictated diagnoses, prescriptions and instructions for patient follow-upLocate and obtain past medical histories, previous charts, past results and studiesTranscribe ancillary test results and their interpretationsCheck on the progress of labs, imaging studies, and other patient dataRetrieve and display current and past EKGs and imaging films (e.g. X-rays) for the provider to review and record provider's interpretationUnderstand basic ICD-10 documentation requirementsComply with all national and local PHI laws including in HIPAA and HITECHComply with all facility, department, company policies and proceduresPerform a variety of other non-clinical tasks specific to the local facility Required Education and Pre-requisites This position requires:High school diploma or the equivalentExemplary work ethic and professionalismExcellent verbal and written communications skillsAbility to adapt to individual site needsStrong computer skills - technological savvyA typing speed of 50+ WPM

Company Description:

ScribeAmerica essentially created the medical Scribe industry, we are the nation's most frequently used and largest professional scribe training and management company, present in over 1,200 healthcare facilities, in 48 states and employing more than 9,000 scribes. We have successfully completed medical scribe programs across a wide spectrum of local environments; rural hospitals, urban hospitals, teaching facilities, private practices, and highly political organizations. These successes provide us with expertise that is unparalleled in the industry. Our medical scribes have been able to prove time and time again that they can master any electronic medical record system, while dramatically increasing physician productivity. We've even successfully pioneered the concept of using scribes to mitigate the decrease in efficiency during EHR implementation- the nation's first!