Scribe Job Description
Medical Scribe Job Description
The primary purpose of the Medical Scribe is to bring more accuracy and organization to thephysician by documenting 100% completion of their patient’s charts in a timely matter. These charts detail the physician-patient interaction in real time through a paper or electronic medical record system. This position helps with increased provider productivity, patient satisfaction and a more efficient work flow.
Job Requirements & Responsibilities:
- Must be able to pass a background check and drug screen
- Must be able to complete, with a satisfactory rating, the didactic and clinical training
- Must provide all necessary documentation needed to be credentialed in designated facilities
- Required to abide by designated facility policies and procedures (ex. HIPPA, Safety Procedures, Conduct Policies)
- At the direction and with the approval of the medical provider, the Scribe is to provide patients with certain comforts. Such comforts include but are not limited to water, ice, blankets, phone access
- At no point shall the Scribe:
- Come in physical contact with a patient
- Relay or discuss a medical providers’ diagnosis with the patient
- Relay or discuss a medical providers’ care-plan with the patient
- Relay specific laboratory or imaging results to the patient
- Input orders into the EMR system
- Scribes act as an extension of the scheduled provider performing the necessary chart documentation and any clerical duties as needed
- Maintain patient charts to include components such as vital signs, patient medical history, lab values, imaging reads, etc.
- Have the means to work at various locations allowed within your designated site
- Be able to maintain the minimum shift requirement as agreed to upon hire•Maintain proper and professional communication with Site Lead and Upper Management
- Scribe responsibilities are subject to change at the discretion of Provider’s Choice. Any added responsibilities will be within the scope of a medical scribes’ capabilities and all employees are expected to abide by these adjustments.
These are a specific set of skills and or abilities one needs to be able to successfully perform the duties of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
General Abilities: Excellent organization, time management and communication skills required. This position must have strong interpersonal skills to maintain a good working relationship with the medical professionals they work with. A successful scribe possesses good work ethic.
Education: High school diploma required, 30 College hours preferred. Having some exposure and familiarity to
medical terms preferred. Must be able to perform and comprehend basic math (add, subtract, multiply, divide,
use fractions and percentages).
Computer Abilities: (If applicable) must be able to accurately type 30 words per minute. Must be able to maintain
an active email address for means of communication in regards to company matters and designated site updates.
Physical Abilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the
essential functions such as the ability to handle weight up to 30 pounds and be on your feet for hours at a time and
(If applicable) legible penmanship.