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    Medical Scribes - Tampa, United States - Ladgov Corporation

    Ladgov Corporation
    Ladgov Corporation Tampa, United States

    1 week ago

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    Description
    JOB TITLE: Medical Scribes

    LOCATION: MacDill AFB, Tampa, FL 33621, United States

    DUTIES:
    • Preparing and assembling medical record documentation/charts for physician(s).
    • Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.
    • Ensuring medical record compliance by self-documentation attestation to include: Scribe name, title and doctor working for as well as specific date and time entry.
    • 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.
    • Printing and coding 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 physician.
    • Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures.
    • Spot mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors.
    • Maintain a clean and professional working environment.
    • Accurately enters new patient information in to electronic medical records file.
    • Enters orders into the electronic medical record (EMR) system.
    • Create and update exam templates in the EMR for the physician.
    • Compliance with hospital/clinic and ProScribe policies, including those relating to HIPAA and Joint Commission.
    • Regular and reliable attendance at assigned facility required.
    • Perform other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.
    • Understanding of and commitment to appropriate protection of confidential patient information.
    • Position may require work at more than one clinic during a scheduled work week.
    EDUCATION & QUALIFICATION:
    • High school diploma or equivalent.
    • Candidate will have a minimum of three (3) years of providing medical scribe services as described herein.
    • Ability to demonstrate knowledge of medical terminology and human anatomy strongly preferred.
    • Skilled in operating various medical record software and hardware, word-processing, and database software programs.
    • Strong written and verbal communication skills with the ability to communicate and interact professionally within a diverse team.
    • Strong work ethic and attention to detail in a fast-paced work environment.
    • Cognizance of delicate and confidential patient information.
    • Tech-savvy and able to operate a personal computer and applicable software with ease.
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