Job Description

Job Description

Job Description

Salary:

Summary:
The Medical Scribe ensures accurate and timely documentation of the medical chart under the supervision of the medical provider. The Scribe assists the provider by accompanying them during the patient exam recording detailed information into the electronic medical record (EMR). The Scribe performs other related medical record or clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction.

Duties and Responsibilities:
Primary Responsibilities:
1. Preparing and assembling medical record documentation/charts for physician(s)

2. Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications

3. Ensuring medical record compliance by self-documentation attestation to include: Scribe name, title, and doctor working for as well as specific date and time entry

4. Updating patient history, physical exam, and other pertinent health information in the patient record

5. Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures

6. Monitoring the duration of basic lab results and screening procedures

7. Compliance with hospital and ProScribe policies, including those relating to HIPAA and Joint Commission

8. Regular and reliable attendance at assigned facility required

9. Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned

Minimum Requirements:

Education/Experience:

High school diploma required.

Ability to demonstrate knowledge of medical terminology and human anatomy is strongly preferred.

Technical/Computer Skills:

Skilled in operating various medical record software and hardware, word-processing, and database software programs; minimum of 60 WPM preferred

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to stand with mobility for extended periods
• Ability to lift, hold, push, and pull 20 pounds
  
• Ability to view computer monitors with close vision, color vision, depth perception, and ability to adjust your focus with good hand-eye coordination
  
• Ability to work in a stressful and fast-paced environment
  
• Ability to read, write, comprehend through listening, and speak fluent English
  
• Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
• Ability to handwrite legibly

Equal Employment Opportunity

MCH is an Equal Opportunity Employer. Equal employment opportunity is a sound and just concept to which MCH is firmly bound. MCH will not engage in discrimination against or harassment of any person employed or seeking employment with MCH on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.

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