Medical Scribe or Assistant - Rockville Center

Job Description

Job Description

Key Responsibilities
• Accompany providers during patient visits and accurately document patient
encounters in the electronic medical record (EMR) in real time.
• Record the patient's history of present illness (HPI), review of systems (ROS),
physical examination findings, assessment, treatment plan, and follow-up
instructions as directed by the provider.
• Document laboratory, imaging, and diagnostic test results within the patient's medical record.
• Enter orders for laboratory tests, diagnostic procedures, referrals, and medications as instructed by the provider.
• Process prescription refill requests in accordance with provider instructions.
• Accurately enter billing information based on the services provided during the
patient visit.
• Prepare patients for examination by obtaining appropriate information and ensuring
examination rooms are ready for use.
• Maintain exam rooms by stocking supplies, preparing equipment, and ensuring a
clean, organized clinical environment.
• Assist providers during examinations, procedures, and patient treatments as
appropriate.
•Observe, document, and communicate patient concerns or changes in condition to the provider.
• Educate patients on prescribed medications, diagnostic procedures, treatment
plans, and wellness recommendations as directed by the provider.
• Instruct patients on specimen collection and preparation for diagnostic testing
when appropriate.
• Maintain accurate, timely, and complete patient records in compliance with
practice standards.
• Coordinate multiple patient encounters efficiently while maintaining accuracy and
attention to detail.
• Report malfunctioning medical equipment or safety concerns to the appropriate
supervisor.
• Follow OSHA, HIPAA, infection control, and all applicable healthcare regulations
and company policies.
• Collaborate effectively with physicians, clinical staff, and administrative team
members to ensure efficient patient care.
• Maintain strict confidentiality of all patients, employees, and organizational
information.
• Perform additional clinical and administrative duties as assigned to support
practice operations.

Required Qualifications
• High school diploma or equivalent required.
• Minimum of one (1) year of experience using an Electronic Medical Record (EMR)
system.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Excellent written documentation and typing skills.
• Strong organizational and time management abilities.
• Ability to multitask and prioritize responsibilities in a fast-paced healthcare
environment.
• Excellent verbal and written communication skills.
• Strong attention to detail with a high level of accuracy.
• Proficiency with Microsoft Office and electronic medical record systems.
• Ability to work independently while contributing effectively as part of a
multidisciplinary healthcare team.

Preferred Qualifications
• Previous experience as a Medical Scribe, Medical Assistant, or in a clinical
healthcare setting.
• Certified Medical Assistant (CMA) certification preferred but not required.
• Familiarity with medical coding, billing documentation, and healthcare
administrative workflows.
• Basic Life Support (BLS) certification preferred.

Knowledge, Skills & Competencies
• Strong clinical documentation skills.
• Thorough understanding of HIPAA, OSHA, and patient confidentiality requirements.
• Ability to maintain professionalism under pressure.
• Excellent critical thinking and problem-solving skills.
• Strong interpersonal and customer service skills.
• Ability to adapt quickly to changing priorities.
• Commitment to deliver compassionate, patient-centered care.

Benefits
• 401(k) Matching
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Employee Discount
• Paid Training
• Paid Time Off (PTO)
• Paid Sick Leave
• Professional Development Opportunities

Integrated ENT Allergy & Immunology is an Equal Opportunity Employer