Medical Scribe, Physicians Practice, Full-time

The Medical Scribe works directly under the supervision of the provider to facilitate patient flow by performing documentation into the Electronic Health Record, gathering information for the patients visit and partnering with the provider to deliver efficient patient care.

Responsibilities:


* Documenting into electronic medical record of the medicine, history of present illness, physical exam, diagnostic results, consults and discharge.


* Will accompany providers into the patient room to transcribe the physical exam findings into the electronical medical record. 


* Will update family history, social history, past medical history, medications, allergies and immunizations into the chart.


* Will access past medical records for the provider.


* Entering orders at the direction of the physician.


* Assist patients in answering structured questionnaires and recording their responses.


* Collaborate with physician in developing templates for documentation.


* Record review and data collection and tabulation for purpose of quality improvement


* Completing patient forms using information available in the medical record


* Accepts referrals from physicians, case managers, attorneys, patients and other sources, completing referrals with all information.


* Obtains verification of patients’ insurance benefits for initial and subsequent treatment; completes and distributes necessary verification forms.


* Provides support to Physicians, as needed.


* Maintains all office equipment or arranges for such care.


* Performs pre-registration and registration of patients upon completion of verification.


* Acts as a liaison between staff and referral sources.


* Contacts physicians’ offices concerning requested services.


* Prepares the chart on each patient by obtaining all necessary forms, information and prescriptions and keeping them up-to-date.


* Perform other duties as assigned or needed.


* Maintains confidentiality of patient information.


* Adheres to policies and procedures specific to patient rights.


* Maintains a clean and safe environment; identifies and reports hazards.


* Meets all requirements for mandatory in-services.


* Proficient in basic computer operations and all office automation equipment (telephones, voice-mail, desktop computing, electronic mail, facsimile procedures, automated scheduling).


* Adheres to policies regarding attendance, conduct, grooming and dress code.


* Exhibit sound organizational skills and personal initiative.


* Exhibit professional demeanor and communication skills.


* Knowledge of medical terminology and insurance verification.


* Proficient with medical authorization for services.


* Exhibit the ability to communicate with a wide variety of individuals (patients, families, physicians, attorneys, external funding agencies, allied health workers, and co-workers).


* Promotes a posit...