Medical Scribe Jobs

Title: Medical Scribe
Department: Individual Practice
Reports to: Office Manager
FLSA status: Non-exempt
Last revision date: 08/08/2022
Supervises others: No
Employee Signature: ____________________________________________ Date: _________________
Supervisor Signature: ____________________________________________ Date: _________________
Summary: The Medical Scribe is responsible for recording a Physician’s interactions with patients and assisting with clerical duties related to medical documentation. Duties include recording a doctor’s interactions with patients, filling out paperwork, summaries and referral letters after a visit and entering data into medical records.
Education: High School Diploma required. Ability to demonstrate knowledge of medical terminology and human anatomy is strongly preferred.
Experience: Minimum one (1) year of recent clinical experience and use of medical terminology
Essential Job Functions

• Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned
• Compliance with hospital, and ProScribe policies, including those related to HIPAA.
• Update patient history, physical exam, and other pertinent health information in the patient record
• Monitor the duration of basic lab results and screening procedures
• Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing EMR applications
• Ensure medical record compliance by self-documentation attestation to include: Scribe name, title, and doctor working for, as well as specific date and time entry
• Prepare medical record documentation/charts for physicians
• Prepare and send all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures

Knowledge, Skills, And Abilities

• Strong computer skills, including Microsoft office and EMR experience
• Strong written and verbal communication skills
• Fluent in medical terminology
• Understanding of and commitment to the appropriate protection of confidential patient information
• Ability to observe and to draft a narrative account of events accurately and grammatically correct
• Ability to spell, proofread, and edit written documents

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephone, calculators, etc.
Work Environment: Position is primarily in a well-lighted office environment. Must have ability to work in fast-paced environment.
Mental/Physical Requirements: While performing the duties of this job, the employee is regularly required to talk or hear.
DISCLAIMER
The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. Examples listed do not preclude the performance of other duties similar in nature or in level of complexity.