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Medical Scribe - Valencia, United States - Southern California Orthopedic Institute

Southern California Orthopedic Institute

Verified Company

Valencia, United States

4 weeks ago

Posted by:

Mark Lane

beBee recruiter

Part time

Description

Summary-
The Scribe works to facilitate patient flow and ensure an accurate and complete medical record for each patient.

The Scribe assists the medical provider by accompanying them during the medical history-taking and exam, recording details of both into the medical record.

Essential Duties and Responsibilities (note:
for items 1-3, 5 information is obtained directly from provider -no medical decision making is done by Scribe)

Record details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies.
Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition.
Submit orders as desired by medical provider and check constantly for results of those orders (as designated).
Other duties and limitations as delineated by specific provider.

Competencies
To perform the job successfully, an individual should demonstrate the following competencies

Working knowledge of medical terminology and accepted abbreviations
Recognition of physical exam process and ability to record exam details
Legible handwriting and ability to accurately record information
Communication skills and the ability to coordinate and cooperate with multiple members of the health care team
Organizational skills with focus on tracking patient care and improving patient flow
Professional demeanor and recognition of privacy considerations for patients and families
Flexibility in scheduling
Coping with the sometimes highpressure environment