- 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 providers and nursing staff, patient education, physician-dictated diagnoses, prescriptions, and instructions.
- Preparation of referral letters as directed by the physician, coordinate referrals, prepare operative reports, and other clerical tasks as assigned.
- Collect, organize, and catalog data for physician quality reporting system and other quality improvement efforts.
- Assist in developing and maintaining systems to track patient follow up and compliance.
- List all proper admission or discharge diagnoses as well as follow-up care instructions as dictated by provider.
- Document the time and reasoning for, but not electronically submit, patient orders including lab tests, radiology tests and medications.
- Successfully navigate the location-specific Electronic Medical Record (or EMR) system to input documentation.
- Inform provider(s) when diagnostic studies are completed, prepare for review, and document in EMR.
- Work under pressure, within time constraints. Must be able to act calmly and effectively in a busy or stressful situation.
- Exhibit excellent listening skills.
- Concentrate on the needs of the provider(s) throughout entire shift.
- Understand and observe legal concepts (e.g. HIPAA, confidentiality).
- Maintains professional appearance (uniform as specified) and conduct at all times.
- Adhere to and observe company and client partner work practices (e.g. cell phone use, food/drink policies).
- Establish and maintain effective working relationships with provider(s), staff, and management.
- Comply with HIPAA confidentiality standards when accessing or communicating patient information.
- Perform other duties as assigned within scope of position.
- HS Diploma/GED required; prefer 2 years college.
- Degrees in the Sciences and Pre-health track preferred. Anatomy, physiology, medical terminology courses are highly desired in individuals with non-science degrees.
- One year of experience as a Medical Scribe or Medical Assistant.
- Writing Skills - knowledge and demonstration of proper grammar and spelling in documentation, ability to write concisely, clearly, and logically. Exhibit legible handwriting.
- Typing Skills - ability to type accurately at 45 wpm + is preferred.
- Exhibit excellence in medical terminology and billing & coding knowledge in all documentation.
- Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
- Client Service - ability to respond to and anticipate needs, including process constructive critical feedback.
- Interpersonal Relations - ability to exhibit understanding and respect of others to support and maintain professional relationships.
- Demonstrated ability to learn and use all functions of electronic medical record software and transcription software. Must accurately enter data into a database, search for information, send and receive email and attachments.
- Personal and professional ethics in observance of legal requirements and company standards.
- Ability to maintain and adjust to changing needs of provider(s) and to location as a whole.
- Multi-task efficiently and effectively as required.
- Proficient with MS Office Suite (Word, Excel) and web-based applications
- Strong verbal and written communications skills.
- Detail oriented with strong organizational skills.
- Ability to prioritize multiple responsibilities and manage a large workload within tight deadlines.
- Committed to customer service.
- Demonstrated research and problem-solving skills.
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Medical Scribe - Gettysburg, United States - Pennsylvania Cancer Specialists and Research Institute
Description
Our caring and educated staff remains dedicated to providing insightful, compassionate care to all of our patients. We understand that every person is unique and we strive to ensure that our patients achieve not only the best possible outcome for their cancer treatment, but also the highest quality care and service during and after treatment. With Medical Oncology, Radiation Oncology, Diagnostic Imaging, as well as an onsite laboratory and pharmacy, we truly offer complete cancer care, under one roof.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
Overall responsibilities include but are not limited to:
