Medical Scribe (Maternity)

Job Description

Job Description

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Base pay: $21.00 - $31.50 / hour JOB SUMMARY Medical Scribes are individuals trained in medical documentation who assist a provider throughout their shift. The primary goal is to increase the efficiency and productivity of the physician. It will be the responsibility of the Medical Scribe to annotate any dictated or written information for the treatment of patients following all local, state and federal guidelines for documentation into the electronic health record system. The Medical Scribe will be responsible for clearly recording each patient's symptoms, history, physical exam and documenting the diagnosis. This position will have no direct involvement in patient care but has an interdepartmental role in assisting nursing and front office staff. JOB DUTIES AND RESPONSIBILITIES

• The primary role of the Medical Scribe is to assist the clinician with documentation of each patient’s medical chart during his or her visit.
• Accompany the clinician into the patient examination area to transcribe a history and physical examination as given by the patient and physician.
• Document any procedures performed by the clinician or nurses, on the electronic medical chart.
• Is an expert in the use of various templates and documentation techniques available in the EHR system and uses these tools efficiently so individual encounters can be well documented, as well as accurately congregate data collected for statistical reporting.
• Transcribes any consultations or discussions with family members and/or the clinician.
• Completes the patient’s chart by transcribing results of any labs, x-rays, or other evaluations. In doing so, the scribe continuously checks on the progress of this data to get the patient’s workup complete so that the clinician is able to make his or her decisions regarding that patient.
• Orders in-house testing, Immunizations, lab testing, diagnostic testing along with generating referrals.
• Lists all proper diagnoses as well as any follow up instructions and prescriptions, as dictated by the clinician.
• Other duties as assigned.

Optional Trainable Skills

A Scribe can be trained to handle Patient Portal tasks for your assigned provider and chart abstraction.

KNOWLEDGE, SKILLS, AND ABILITIES

• Recognition of physical exam process and ability to record exam details quickly and accurately.
• Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion.
• Strong attention to detail.
• Computer proficiency in Windows environment and ability to quickly learn new applications.
• Ability to communicate effectively in the English language in person, by phone and in writing.
• Ability to type 45 WPM or greater

EDUCATION & EXPERIENCE

• High school diploma or equivalent.
• One year experience in healthcare field or minimum 2 years of college education.

PREFERRED QUALIFICATIONS

• 2-4 years of college education desired with Medical Terminology, Anatomy and Physiology coursework/degree.
• Experience working in an outpatient clinic or doctor’s office.
• Medical Transcriptionist experience.
• Typing 60 WPM or greater.

 

BENEFITS

SCHC understands the importance of good health for every employee. We offer a comprehensive benefits package to ensure employees and their families receive the optimal in health care coverage, along with options to meet their needs.

• Competitive wages
• Medical insurance
• Dental insurance
• Vision insurance
• 403(b) retirement plan with matching employer contribution
• Long-term disability coverage
• Life insurance
• Accidental death and dismemberment insurance
• Supplemental Insurances
• Flexible spending account
• Paid vacation
• Paid sick
• Paid holidays
• Paid CME time and CME allowance
• Employee assistance program
• Jury duty pay
• Bereavement pay
• Prescription discount program
• 529 college savings plan
• Educational reimbursement program
• Free telemedicine service for benefit eligible employees

Shasta Community Health Center is an Equal Opportunity Employer.