Medical Scribe

Location: Aldine, South of the George Bush Airport Type: Direct Hire Requirements: 1+ years of scribing experience Ideally 1+ years of clinical experience Responsibilities: Patient Encounter Documentation: Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time. EHR Management: Navigate and proficiently utilize electronic health record (EHR) systems to input and manage patient data, ensuring that all documentation adheres to compliance and confidentiality standards. Chart Review: Regularly review and organize patient charts, ensuring completeness and accuracy of information, and addressing inconsistencies or discrepancies. Effective Communication: Act as a liaison between healthcare providers and other team members, facilitating the exchange of important information, requests, and follow-up instructions. Data Entry and Coding: Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services provided during patient encounters. Liaison for Documentation Queries: Serve as a liaison between the coding team and providers to ensure the timely resolution of documentation queries. Morning Huddle Preparation: Conduct thorough research of patients' historical charts and external data to enhance the morning huddle presentation. Quality Metrics Management: Oversee measurement, analysis, and reporting of healthcare quality metrics. Identify and close gaps in care to ensure optimal outcomes. Population Health Optimization: Analyze population health and coding strategies to enhance patient stratification, identifying at-risk patients and assisting in enrolling them in chronic care management protocols. Evidence-Based Research: Stay updated on evidence-based medical protocols and provide revised data to the care team. Maintain Confidentiality: Adhere to strict patient privacy and confidentiality regulations (e.g., HIPAA) and ensure that all patient data is handled with the utmost discretion. #J-18808-Ljbffr