Medical Scribe - Interpreter - PACE

Job Description

Job Description

About Us

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.

As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 100,000 people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.

ROLE OVERVIEW and PURPOSE

The Medical Scribe will increase the electronic medical record (EMR) efficiency, productivity, and accuracy for providers. This role will annotate all dictated or written information for patient treatments. In addition, this role will facilitate communication between limited English-speaking patients and their providers, nurses, lab technicians, and other clinical staff. Schedule: Monday-Friday, 8am-5pm. 

Responsibilities

Medical Scribe

• Assists providers with documentation of each patient’s medical chart during their visit
• Transcribes a history and physical examination as given by the patient and provider
• Documents all procedures performed by the provider or nurses in patient medical charts
• Uses various EHR tools to aggregate data collected for statistical reports for efficiency and accuracy
• Transcribes consultations and discussions by family members and/or providers, including electronic signatures on changes made to patient progress notes
• Orders labs, diagnostic imaging, and specialty referrals
• Transcribes results for labs, X-rays, and other evaluations in patient medical charts
• Follows up on the progress of pending results to finalize the patient workups for the provider
• Documents proper diagnoses, follow-up instructions, and prescriptions as dictated by the clinician
• Trains new hires, including new hire shadowing after three months of employment, assuming competency in work performance
• Attends mandatory trainings with various departments within the organization

Healthcare Interpreter

• Facilitates communication between patients and their providers, nurses, medical assistants, lab technicians, and other clinical team members
• Ensures patients comprehend treatment plans as described by the provider and clarifies any discrepancies
• Adapts to provider workflow preferences and proactively reviews patients’ charts in preparation for scheduled appointments
• Conveys information to patients regarding treatment plans, lab results, referrals, and other information within patients’ charts/electronic health records in accordance with HIPAA standards
• Conduct weekly reviews of all documented patient encounters to ensure completion of all provider-ordered items, including prescriptions, diagnostic studies, referrals, and follow-up orders.
• Ensure compliance with clinical protocols and support care coordination and quality assurance initiatives by identifying and addressing any gaps in documentation or follow-through.
• Serve as scribe for Interdisciplinary Team (IDT) morning meetings weekly and for family meetings as needed
• Family meetings involve participants, their families, and key members of the IDT
• Attend monthly coding and documentation training sessions to support accurate medical coding and documentation accuracy
• Create and prepare charting templates upon provider request to streamline documentation processes
• Transcribe imaging and lab results from English to Spanish for Spanish-speaking participants requesting physical copies
• Manage clinic workflows by coordinating between providers and clinic staff to ensure efficient participant flow, timely documentation, and minimize delays
• Assists providers in navigating the electronic health record (EHR)
• Locates information for review, including encounters, test results, and outside records
• Notifies provider of any pending items and system alerts
• Assists with scheduling/rescheduling appointments
• Recognizes any potential barriers to communication that may impact the success of the patient experience

Qualifications

Education/Experience

• High school diploma/GED required; bachelor’s degree preferred
• Healthcare Interpreter Certification preferred
• 1 year of medical scribe experience within an outpatient clinic setting preferred; Experience using electronic medical records systems preferred
• Current Basic Life Support (BLS) certification required upon hire and must be maintained as a condition of employment. These courses must follow AHA guidelines- may be completed through approved online providers such as ProMed or other equivalent programs that meet recognized BLS standards
  • In addition, current CPR and First Aid certification are required for all PACE employees in accordance with CMS and DHCS requirements. First Aid training will be provided at onboarding and must be renewed annually. 
• Bilingual (English/Spanish) speaking, reading, and writing required

Additional Qualifications (Knowledge, Skills and Abilities)

• Excellent verbal and written communication skills, including superior composition and proofreading skills
• Ability to type 55+ words per minute
• Ability to carry out work in a distraction-free environment
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Knowledge about and experience with various templates and documentation techniques in EMR systems
• Knowledge about and experience with medical terminology, anatomy, and physiology
• Ability to successfully manage multiple tasks simultaneously
• Excellent planning and organizational ability
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 5 lbs/weight
• Ability to stand for long periods of time

COMPLIANCE (Safety & HIPAA)

• Follows all safety procedures as outlined in Neighborhood Healthcare’s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediately
• Maintains current knowledge of policies and procedures as they relate to safe work practices
• Follows all safety procedures and reports unsafe conditions
• Uses appropriate body mechanics to ensure an injury free environment
• Familiarity with location of nearest fire extinguisher and emergency exits
• Follows all infection control procedures including blood-borne pathogen protocols
• Maintains privacy of all patients, employees and volunteer information and access such information only on a need-to-know basis for business purposes
• Comply with all regulations regarding corporate integrity and security obligations
• Reports all behavior and/or activity that are unethical, fraudulent, or unlawful

Neighborhood Healthcare offers a generous benefit plan that includes:  Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!

Pay range: $24.95 - $34.93 per hour, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.