Medical Scribe- CMA, LPN, or RN

Job Description

Job Description

Description:

Medical Scribe Responsibilities

• Accurately and thoroughly documents medical visits and procedures as they are being performed by the physician, including but not limited to: patient medical history & physical exam, patient education and explanation of risks and benefits, physician dictated diagnoses, prescriptions and instructions for patient or family members for self-care or follow-up, preparation of documents as directed by the physician
• Identifies errors in medical documentation and corrects the information. All addenda must be signed off by a physician. Ensures that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record.
• Complies with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential according to AMA, CMS, ICD-10, & HIPPA guidelines.

Nursing Duties

• Provides nursing care to patients and accepts delegation from assigned supervisor and/or provider in order to meet the needs of the patient/family
• Collects data and information to assist the clinical team and/or the provider in patient assessment and care planning which includes but is not limited to:
• Communicating through telephone encounters
• Reviewing documents
• Reviewing hospital/clinical records
• Prioritizing patient assignments
• Delivers care in accordance with the treatment, as well as in accordance with policies and procedures of the office
• Possesses excellent communication (written & verbal) skills and participates in teamwork
• Effectively and respectfully communicates with other departments of the office
• Demonstrates cardiac related knowledge and appropriately applies knowledge to patient care
• Demonstrate computer & electronic medical record systems skills
• Exhibit an ability to adapt to unpredictable situations within the work setting
• Independently completes assignments in a timely manner

Education and Qualifications

• Holds/maintains active LPN or RN license in Georgia, or active Certification in Medical Assisting
• Holds/maintains active BLS certification
• If RN, holds/maintains active ACLS certification

Full-Time Benefits & Perks

• Set scheduled 4-day work week
• Comprehensive Medical, Dental, and Vision insurance (effective 1st of the month following 60 days)
• Company-paid Long-Term Disability (60%) and $25,000 Basic Life Insurance
• 6 Paid Holidays: New Year’s Day, Memorial Day, 4 of July, Labor Day, Thanksgiving, & Christmas
• PTO accrued at 3.08 hours per paycheck (80 hrs / yr )
• 401k matching program after 1 year worked
• VIP Status at both Southeastern Cardiology and Southeastern Gastroenterology
• Discounts through Uniforms of America, and the Working Advantage program.