MEDICAL SCRIBE - PULMONARY - FULL TIME

Summary/Objective: A Medical Scribe is essentially a personal assistant to the provider; performing documentation in the EHR, gathering information for the patient's visit, and partnering with the provider to deliver efficient patient care.

Essential Functions

• Accompanies the physician into the patient room
• Document the history of the patient's chief complaint
• Document the Review-of-Systems (ROS) and physical examination
• Enter vital signs and keep track of lab vaues
• Look up pertinent past medical records
• Keep track of and enter the results of imaging studies
• Type progress notes and enter the patient's discharge plan
• Interprets and records information from physician accurately and in a timely manner while utilizing medical terminology and completing records per documentation guidelines/procedures within the EHR while facilitating smooth work flow with physician.
• Submits orders into computer as directed by physician.
• Performs any other duties as directed by physician or supervisor.

Hospital based

Required Education and Experience: High school diploma or GED. 1 year experience working in an ambulatory care setting, must possess a working knowledge of medical terminology, abbreviations, and demonstrates computer proficiency.

Additional Eligibility Qualifications: Current BLS certification or to be completed within three months of employment. Must pass basic typing test.