Scribe Jobs

Scribe - Stony Brook Dermatology, UFPC

Location: Stony Brook and Commack, NY

Schedule: Part Time

Days/Hours: Monday, Wednesday and Friday - 8:00am-12:00pm. (Monday and Wednesday in Stony Brook and Friday in Commack)

• Additional duties as assigned.
• Identify mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. All addenda must be signed off by a physician.
• Procedures and treatments performed by healthcare professionals, including nurses and physician assistants.
• Comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential.
• Quickly assimilate new knowledge into processes and procedures.
• Proofread and edit all the physician's medical documents for accuracy, spelling, punctuation, and grammar.
• Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding.
• Patient medical history and physical exam
• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
  • Patient medical history and physical exam
  • Procedures and treatments performed by healthcare professionals, including nurses and physician assistants.
  • Patient education and explanations of risks and benefits.
  • Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up.
• Alert physician when chart is incomplete.
• Ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record.
• Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up.
• Patient education and explanations of risks and benefits.

• High School Diploma/GED
• Must be proficient in Microsoft Office Word and Excel
• Must be able to type words and numbers quickly and accurately.
• Must accurately enter data into a database, search for information, send and receive email and attachments.
• Must comply with HIPAA confidentiality standards when accessing or communicating patient information.
• Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
• Must be able to learn and use all functions of electronic medical record software and transcription software.
• Proficient in typing, spelling, punctuation, grammar, and oral communication. Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills required to generate professional, polished writing at a high rate of production.
• Good judgment, organizational ability, initiative, attention to detail.

• Ability to type 50-60 words per minute.
• 1 year of experience as Scribe or Medical Assistant (must have graduated from an MA program) or in a medical office. Scribe certification will be considered in lieu of experience or college coursework as related to position.
• Bachelor’s degree.
• Bilingual