[Hiring] Medical Practice Scribe @Springfield Clinic

Role Description

The Medical Practice Scribe is responsible for functioning as a real-time documenter of the physician services performed during a patient encounter in the medical practice environment. Responsible for accurately entering information into the EHR as dictated to them by the provider.

Qualifications

• High School graduate or GED required.
• Completion of a medical terminology course is preferred, or previous medical terminology experience in a clinical setting.

Requirements

• Accompany the physician during a complete visit encounter and document in real time the words, actions, physical examination findings, procedures, and treatments as performed by the physician.
• Accurately enter information into the EHR as dictated to them by the physician.
• Document the physician's actions and words during the visit while in the presence of the physician.
• Enter the information into the EHR under his/her own log-in.
• Retrieve data for physician review such as labs, radiology reports, and medical records.
• May transcribe a provider's consultations with other healthcare professionals, patients, and family members.
• Record physician-dictated diagnoses, prescriptions, and instructions for patient discharge and/or follow-up.
• Will not touch patients or perform any clinical tasks.
• Must fully understand and adhere to the standard operating policies and procedures specific to "Scribe: Guidelines for Use in the Medical Office."
• Perform other clerical duties as assigned by operations manager, physicians, and/or advanced practitioner.
• Comply with the Springfield Clinic incident reporting policy and procedures.
• Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
• Provide excellent customer service and adhere to SC Way customer service philosophy.
• Perform other job duties as assigned.

Company Description