SUMMARY OF DUTIES:
A Medical Scribe’s duties include performing all clerical and information technology functions for a physician in a clinic setting. This includes primary responsibility of the operation of the electronic health records and electronic dictation system. Medical Scribes must be discreet, tactful, and modest in performance of duties so as not to distract medical staff from patient care. Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated are especially important when working as a Medical Scribe. You must be adaptable and versatile since you will be responsible for many tasks. Good attendance is also an important element of this job since you will be hard to replace.
ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to the following:
• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
o Patient medical history and physical exam,
o Procedures and treatments performed by healthcare professionals, including nurses and physician assistants.
o Patient education and explanations of risks and benefits.
o Physician-dictated diagnoses, prescriptions, and instruction for patient or family members for self-care and follow-up.
o Prepare referral letters as directed by the physician.
• Faxing, phone calls and clerical tasks.
• Spot mistakes or inconsistencies in medical documentation and check to correct the information to correct errors.
• Collect, organize and catalog date for physician quality reporting system.
• Attend trainings as required.
• Maintain patient and clinic confidentiality at all times.
QUALIFICATION REQUIREMENTS:
• High school diploma or equivalent
• Ability to write routine reports and correspondence; proficient in typing and good at spelling, punctuation, grammar and oral communication.
• Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology and treatment assessments to the extent required to understand and accurately transcribe dictated reports. Translate medical abbreviations as needed.
• Strong and analytical mathematical skills to compute ratio and percent and to prepare and interpret charts and graphs.
• Proficient computer skills; ability to learn electronic and transcription medical record software.
• Detail oriented, with excellent organizational skills
• Highly motivated, reflecting positive attitude at all times
• Ability to relate well and show respect for others