RHC Provider Scribe Job at Schoolcraft Memorial Hospital
JOB SUMMARY:
The duties of a scribe are to document the physician dictated history, physical exam, family, social and past medical history in real time in the EHR. They help to manage the non-clinic, clerical tasks of documentation including but not limited to documenting procedures, labs results, and dictated radiology. Scribes do not provide any patient care or offer any medical advice.
QUALIFICATIONS:
- High school diploma or equivalent
- 3 or more years’ experience with clinical charts/EMR/transcription, scribing or equivalent
- 5 or more years’ experience in clinical or community health settings preferred.
- Proficient in medical terminology, typing, spelling, punctuation, grammar and oral communication
- Must be able to listen to complex medical information and summarize in a clear, complete and concise fashion.
- Demonstrate proficient computer skills using all functions of an electronic medical record
- Recognition of physical exam process and ability to record exam details
- Demonstrates effective communication skills: oral and written
- Effective organization skills and demonstrates ability to provide legible, accurate notes
- Previous experience with health EMR systems and ability to follow and record in EMR
- Professional, friendly demeanor and recognition of privacy considerations for patients and families
- Ability to multi-task efficiently and effectively
- Must be able to act calmly and effectively in a busy or stressful situation
- Must be able to establish and maintain effective working relationships with managers and peers
ROLES & RESPONSIBILITIES:
- Accompany medical provider into the patient examination room and thoroughly document (into the EMR) the medical visit and procedures as they are being performed by the provider, including but not limited to:
- Patient medical history and physical exam
- Procedures and treatments performed by the healthcare provider
- Patient education and explanations of risks and benefits
- Provider-dictated diagnosis, prescriptions, orders, referrals and instruction for patient or family members for self-care and follow up
- Dictation/faxing/phone calls and clerical tasks to assist the medical provider
- Assist in review and correction of medical documentation under the direction of the provider
- Maintain professional appearance and conduct at all times
Location: Schoolcraft Memorial Hospital · RHC
Schedule: Full Time, Days
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