Description

Under the supervision and direction of the Principal Investigator (PI), the Medical Scribe will provide scribe support to physicians with various aspects of patient care in their respective subspecialties. The Medical Scribe will assist in the recording of outpatient medical records under the supervision of the physician. Medical record documentation will include history of present illness, past medical history, review of systems, physical exam findings, assessment and plan, procedure notes, lab and radiology results, patient instructions, level of service, and appropriate charge capture. The individual must multi-task between accurate documentation and administrative duties as indicated. The Medical Scribe will be responsible for reviewing information with the physician at the completion of each documented outpatient visit to confirm accurate reporting. The Medical Scribe may also participate in monitoring the completion of provider medical record documentation to assess for charts completeness and will send incomplete charts back to appropriate providers as needed. The Medical Scribe will work in close association with providers assigned to the department and is a part of the clinical team. Salary: $23.86 Hourly

Qualifications

Required: Ability to perform and multi-task under the pressure of frequent interruptions and distractions. Skill in analyzing information, problems, situations and procedures to define objectives, identify patterns and formulate conclusions. Strong interpersonal skills to effectively and diplomatically interact with others. Demonstrated excellent verbal and written communication skills. Skill in setting priorities which accurately reflect the relative importance of job responsibilities. Ability to handle confidential material while protecting its strict confidentiality. Skill in working independently and following through on assignments with minimal supervision. Demonstrated ability to creatively integrate competing demands of a multidisciplinary setting into a productive working environment. Ability to organize and track multiple records and requests and follow through in a timely manner. Demonstrated excellent verbal and written communication skills. Demonstrated ability to interact diplomatically and sympathetically with a patient population in varying degrees of health. Ability to proofread very detailed materials and monitor work accurately. Ability to establish and maintain cooperative working relationships with co-workers, faculty, residents, nurses, students, university representatives, patients and the public.Working knowledge of PC including the following software: Microsoft Word, Microsoft Outlook, Excel, PowerPoint, Windows. Preferred: Knowledge of scribing in an outpatient clinic. Detailed knowledge of medical terminology and the ability to distinguish different exams and medical diagnoses. Previous experience with electronic medical records software such as EPIC, etc. Knowledge of E&M codes and the level of documentation necessary for each billing level.