Job Description

Medical scribe to scribe for the provider during the patient exam, recording detailed information into the electronic medical record (EMR). The Scribe will also perform other related medical records or clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction.

• Chart in real-time as the provider assesses and examines the patient
• Document the history, physical exam, assessment and plan, results, procedures, treatment, and physician consultations
• Record provider-dictated diagnoses, prescriptions and instructions for patient follow-up
• Locate and obtain past medical histories, previous charts, past results and studies
• Transcribe ancillary test results and their interpretations
• Check on the progress of labs, imaging studies, and other patient data
• Understand basic ICD-10 documentation requirements
• Comply with all national and local PHI laws including HIPAA and HITECH
• Comply with all facility, department, company policies and procedures
• Perform a variety of other non-clinical tasks specific to the practice

Required Education:

• Medical Assistant or Scribe experience preferred
• Bachelor’s degree with completion of Anatomy and Physiology 
• Medical Terminology required
• Clinical experience in a medical office is required, urgent care or emergency department preferred
• Knowledge and proficiency with EMR systems required

This position also requires:

• Exemplary work ethic and professionalism
• Excellent verbal and written communications skills
• The ability to multitask in high-stress environments
• A typing speed of 50+ WPM

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