MUSCP - Medical Scribe - Pediatric Orthopaedic Surgery - Department of Orthopaedics

Job Description Summary

The Department of Orthopaedics and Physical Medicine & Rehabilitation is seeking a qualified medical scribe. The Scribe accompanies the physician(s) or licensed provider into the exam room, documenting in the EMR all aspects of patient care to include, chief compliant, history of presenting illness, physical exam and patient plan as directed by the provider. The role of the Medical Scribe in the department of Orthopaedics and Physical Medicine & Rehabilitation is to actively facilitate health care delivery in a clinical setting under the direction of a licensed healthcare provider. The Scribe is responsible for assisting the provider in patient care as well as provide administrative scribing services to ensure the highest quality patient care and experience within the clinical scope of a MSA.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC000989 COM Orthopaedic Surgery & Physical Medicine CC

Pay Rate Type

Hourly

Pay Grade

Health-18

Scheduled Weekly Hours

40

Work Shift

Job Description

Job Purpose  

The Department of Orthopaedics and Physical Medicine & Rehabilitation is seeking a qualified medical scribe. The Scribe accompanies the physician(s) or licensed provider into the exam room, documenting in the EMR all aspects of patient care to include, chief compliant, history of presenting illness, physical exam and patient plan as directed by the provider.  

The role of the Medical Scribe in the department of Orthopaedics and Physical Medicine is to actively facilitate health care delivery in a clinical setting under the direction of a licensed healthcare provider. The Scribe is responsible for assisting the provider in patient care as well as provide administrative scribing services to ensure the highest quality patient care and experience within the clinical scope of a MSA. 

Required Minimum Education and Work Experience: High school diploma or equivalent. Experience in a healthcare environment. Excellent computer and typing skills. Strong verbal and written communication skills. Working knowledge of an electronic medical record application. Adept knowledge of medical terminology; High attention to detail.  

 

Degree of Supervision: Must be able to work under the direction of a physician. 
 
Required Licensures, Registrations, Certifications: N/A 

 

Job Duties

• Accompanies the Licensed Provider into the exam room, documenting in the EMR all aspects of care to include, chief compliant, history of presenting illness, physical exam and patient plan as directed by the provider 25%. 

• Records the words and activities of the provider-patient portion of the encounter in real-time in the EMR 25% 

• Initiates patient order and referrals in the EMR under the direction of the provider and submits to provider for authorization. Searches for relevant information in the medical record 20% 

• Develops and understanding of the providers practice patterns and key terms used by the provider to ensure efficient and accurate real time documentation of the patient visit 10%. 

• Ensures patients are appropriately prepared for the encounter. Prepares/obtains patient medical records and other information/documentation pertinent to the encounter 10%.