FT Medical Scribe needed in busy Orthopedic Office.

Job Summary:

Accompanies provider into the patient examination room to document the provider's encounter with the patient. Collaborates with the provider to document the patient history, physical exam, results of diagnostic testing, and diagnosis and disposition.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Assist providers with documentation of each patient's medical chart during encounters. Accompany the provider into the patient examination area in order to transcribe a history and physical examination as given by the patient and physician.
• Document all procedures performed by the physician, physician extenders, or nurses, on the medical chart.
• Transcribe consultations or discussions with family and/or the patient's private physician or the on-call physician.
• Complete the patient's charts by transcribing results of any labs, x-rays, or other evaluations. Continuously check the progress of data availability for orders, to ensure the patient's workup is complete so that the provider is able to make treatment decisions regarding that patient.
• May occasionally assist with some patient-related duties.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

EXPERIENCE

• Preferably Medical Terminology Knowledge