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Skills
Ambulatory Careunmatched
Clinical Assessmentunmatched
Computer Skillsunmatched
Data Collectionunmatched
Discharge Plansunmatched
Documentationunmatched
High School Diplomaunmatched
Hospitalunmatched
Medical Record Systemunmatched
Medical Recordsunmatched
Medical Terminologyunmatched
Medical Treatmentunmatched
Medical Writingunmatched
Patient Careunmatched
Time Managementunmatched
Description
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Job Type
Full-time
Description
Summary/Objective: A Medical Scribe is essentially a personal assistant to the provider; performing documentation in the EHR, gathering information for the patient's visit, and partnering with the provider to deliver efficient patient care.
Essential Functions
Accompanies the physician into the patient room
Document the history of the patient's chief complaint
Document the Review-of-Systems (ROS) and physical examination
Enter vital signs and keep track of lab vaues
Look up pertinent past medical records
Keep track of and enter the results of imaging studies
Type progress notes and enter the patient's discharge plan
Interprets and records information from physician accurately and in a timely manner while utilizing medical terminology and completing records per documentation guidelines/procedures within the EHR while facilitating smooth work flow with physician.
Submits orders into computer as directed by physician.
Performs any other duties as directed by physician or supervisor.\
Hospital based
Requirements
Required Education and Experience: High school diploma or GED. 1 year experience working in an ambulatory care setting, must possess a working knowledge of medical terminology, abbreviations, and demonstrates computer proficiency.
Additional Eligibility Qualifications: Current BLS certification or to be completed within three months of employment. Must pass basic typing test.