Medical Scribe

Description

Position Summary

A summary of a Medical Scribes duties includes performing all clerical and information technology functions for a physician in a clinic setting. This includes primary responsibility of the operation of the electronic health records and electronic dictation system. You also must be able anticipate physician needs to facilitate the flow of clinic. Medical Scribes must be discreet, tactful, and modest in performance of duties so as not to distract medical staff from patient care. Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated are especially important when working as a Medical Scribe.

Essential Job Duties and Responsibilities

• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
• Patient medical history and physical exam,
• Procedures and treatments performed by healthcare professionals, including nurses and physician assistants. • Patient education and explanations of risks and benefits.
• Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up
• Prepare referral letters as directed by the physicians.

Skills:

• Medical terminology.
• Recognition of physical exam process and ability to record exam details.
• Computer proficiency and ability to quickly learn new applications.
• Legible handwriting and ability to accurately record information.
• Organizational skills with focus on tracking patient care and improving patient flow.
• Professional demeanor and recognition of privacy considerations for patients and families.\

Other Requirements:

• Ability to multi-task efficiently and effectively.
• Must be able to act calmly and effectively in a busy or stressful situation.

Requirements

 Educational Requirements

• Required: High school diploma or general education degree (GED); or equivalent combination of education and experience
• Preferred: One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.

Experience

• 6 months experience as a Medical Scribe.
• 6 months related experience and/or training, or equivalent combination of education and experience.

Additional QualificationsTo perform this job successfully, an individual should have the following general knowledge:

• Professional attitudes sufficient to demonstrate honest, ethical and compassionate behavior, take responsibility for own actions and be forthright about errors or uncertainty, display flexibility, function effectively under stress, adapt to changing environments, possess ability to work with infectious biological specimens and hazardous materials, and function as an active cooperative member of the health care team
• Knowledgeable in current computer applications including new computer software and computer systems, and be practiced in needed computer skills
• Excellent in verbal skills especially when handling situations where information is being relayed to customers, clients or employees. Masters written communication skills with accuracy and attentiveness
• Achieving efficient, timely, quality results by directing efforts on expected outcomes while providing exemplary client service within expected timeframes
• Willingly adapting to constantly changing circumstances while maintaining a corporate perspective. Engaging in continuous learning, adjusting the application of knowledge, skills, and abilities while addressing new challenges as contextual realties change.
• Using a logical reasoning process to break down and work through a situation or problem to arrive at an outcome
• Anticipating and responding to needs and demands of clients both internally and externally

Knowledge RequirementsTo perform the job successfully an individual should demonstrate the following competencies:

• Teamwork/Cooperation: Readily shares information, knowledge and personal strengths. Seeks to understand and build on differing perspectives of others to enhance team efficiency and quality outcomes.
• Working with Others: Works well and cooperates with others staff members. Is courteous, tactful, and has a team spirit. Communicates in a clear, concise, effective, and timely manner, both orally and in writing. Displays well developed liste