Medical Scribe

Site: Massachusetts Eye and Ear Infirmary

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

Clinic Schedule (subject to change):

Monday: 8:00 AM – 5:00 PM

Tuesday: 1:00 PM – 5:00 PM (morning clinic often added)

Wednesday: 8:00 AM – 5:00 PM

Thursday: Varies depending on OR schedule

May be 8:00 AM – 5:00 PM, 2:00 PM – 5:00 PM, or no clinic

Friday: Approximately 8:00 AM – 12:00 PM

Note: Schedule may vary based on provider availability.

 

Job Summary

Responsible for clerical and information technology functions for and under the direction of a provider in a
practice/setting. This includes primary responsibility of the operation of the electronic health records (EHR) and electronic dictation system.

Does this position require Patient Care? No

Essential Functions:
-Works to facilitate patient flow and ensure an accurate and complete medical record for each patient.
-Accompanies provider into the patient examination room in order to transcribe a history and physical exam, and accurately document the provider's encounter with the patient and others present following established guidelines for documentation.
-Lists all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
-Scribes document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies during the visit exam.
-Documents all procedures performed by the physician.
-Scribes document physical examination findings and procedures as performed by the physician.
-Scribes document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
-Scribes may que up orders for the physician to authenticate and initiate. All orders for patient care must be communicated by the physician and not the scribe.
-Scribes do not participate in any patient care and should refer all requests related to patient care to the responsible physician or nursing staff; including, but not limited to transporting specimens, answering phones, assisting patients, calling physicians, etc.
-Assists the provider with all clerical activities related to the Electronic Health Record (EHR) to help support workflow and documentation for medical record coding.
-Ensures good teamwork and effective interpersonal relationships.

 

Qualifications

Education Associate's Degree Related Field of Study required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience experience working in a medical office, hospital or practice setting 1-2 years required EMR or Medical Terminology experience or completion of Medical Terminology course 1-2 years preferred Knowledge, Skills and Abilities - Ability to anticipate physician needs to facilitate the flow of clinic. - Must be discreet and tactful. - Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated. - Excellent and legible penmanship. - Ability to multitask and consistently communicate in a professional manner and perform duties under pressure. - Ability to handwrite or key into EHR large amounts of dictated information. - Adequate knowledge of computer usage and ability to tolerate viewing on computer monitors for extended periods of time. - Computer proficient and understanding of the functions of an electronic medical record. - Extensive knowledge of medical terminology.

 

Additional Job Details (if applicable)

Physical Requirements

Standing Occasionally (3-33%)

Walking Occasionally (3-33%)

Sitting Constantly (67-100%)

Lifting Occasionally (3-33%) 20lbs - 35lbs

Carrying Occasionally (3-33%) 20lbs - 35lbs

Pushing Rarely (Less than 2%)

Pulling Rarely (Less than 2%)

Climbing Rarely (Less than 2%)

Balancing Occasionally (3-33%)

Stooping Occasionally (3-33%)

Kneeling Rarely (Less than 2%)

Crouching Rarely (Less than 2%)

Crawling Rarely (Less than 2%)

Reaching Occasionally (3-33%)

Gross Manipulation (Handling) Constantly (67-100%)

Fine Manipula