- Prepare charts for physicians prior to each session, including reviewing previous notes for patient, creating office note for upcoming visits and populate it with relevant data from previous visits and history
- Transcribes details of the interview and physical exam per physical instruction utilizing medical terminology and documentation guidelines within the EMR
- Completes all necessary documentation of the patient encounter in the medical chart including entering orders and billing codes as dictated by the physician
- Maintains a list of patient tests keeping track of results as they become available (provider dependent)
- Scans and files lab reports/test results and charts via electronic medical record alerting the physician as laboratory or radiology results become available (provider dependent)
- Follows up on lab reports and tracks any missing or delayed studies (provider dependent)
- Performs other duties as directed by physician or supervisor
- Scribes may not act independently but documents the physician's or licensed independent practitioner's dictation and/or activities
- High School diploma required; college graduate preferred
- 0-1 years of experience must possess strong organizational skills and be detail oriented
- Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports
- Translate medical abbreviations into their expanded forms
- Must adhere to Scribe/Provider agreement
- Previous Electronic Medical records experience preferred
- Certification as a Medical Scribe is preferred
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Medical Scribe #Full Time - New York, United States - 61st Street Service Corporation
Description
Job Summary:The Medical Scribe will be responsible for documenting accurate and detailed information of patient visits. A summary of a Medical Scribe's duties include performing clerical and information technology functions for a physician in a clinic setting, including primary responsibility of the operation of the electronic health records and electronic dictation system.
Job Responsibilities:
Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.
61st Street Service Corporation
At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.
We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.