Medical Assistant Scribe

Overview

The primary goal of a Medical Scribe is to increase the efficiency and the productivity of the physician they are working for. The Medical Scribe allows the doctor to focus on what is most important, the patient.

A summary of Medical Scribes duties includes performing all clerical and information technology functions for a physician in a clinic setting. This includes primary responsibility of operating the electronic health records and electronic dictation system. You also must be able to anticipate physician needs to facilitate the flow of clinic. This is an on-site position. Medical Assistants receive clinical supervision and direction solely from licensed providers.

The Clinic Operation Manager provides administrative and operational oversight only.

• 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
• Prepare referral letters as directed by the physician
• Dictation/faxing/phone calls and clerical tasks. Medical Scribes are asked to prepare referral letters as directed by the physician, via dictation or summary of the medical record. Medical Scribe also ensures that letters are mailed or faxed daily to all physicians involved in a patient’s care and with all copies of pertinent reports or tests attached. You may be asked to research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, manage the providers schedule and other clerical tasks as assigned.
• Medical Scribes also spot mistakes or inconsistencies in medical documentation and check to correct the information to reduce errors. All addenda must be signed off by a physician. Medical Scribes 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. Alert physician when chart is incomplete.
  
  Medical Scribes must 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.
• Medical Scribes collects, organizes, and catalogs data for physician quality reporting system and other quality improvement efforts and format for submission. You will assist in developing and maintaining systems to track patient follow-up and compliance.
• Medical Scribes proofread and edit all the physician’s medical documents for accuracy, spelling, punctuation, and grammar and often follow the provider to various offices.
• Performs additional responsibilities as appropriate to the role and scope of practice.
• Assumes other responsibilities as appropriate to the position and organizational needs

• A certificate of completion in a certified Medical Assistant training program required.
• High School diploma or GED.
• Current BCLS certification with AED.
• Minimum of 1 year of experience in a medical clinic, hospital, or Skilled Nursing Facility (SNF) setting.
• Proficiency in reading, writing, and comprehending medical documentation.
• Strong computer skills, including Microsoft Excel and Microsoft Word. Training will be provided for our software.
• Effective presentation of information, both verbally and in writing.
• Excellent interpersonal skills for professional communication with patients, medical professionals, and co-workers.
• Knowledge of state and federal regulations related to confidentiality (HIPAA), treatment, and safety guidelines.
• Ability to anticipate patient needs, proactively address them, and resolve issues within the scope of practice.
• A flexible, cooperative, and effective team member who is willing to assist others.
• Strongly preferred:
  Bilingual proficiency in Spanish and English.

Compensation Range:

$22.00 to $25.00 Hourly

All compensation ranges…