Medical Scribe

Description

Job Purpose: The Medical Scribes ais trained in medical documentation and assists the provider by completing documentation in the Electronic Health Record (EHR) and gathering information for the patients visit which then allows the provider to focus on the patient and patient care.

• Accompany physician into the exam room and/or virtually transcribes and documents patient history and physical exam accurately in the EHR.
• List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician into the EHR.
• Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
• Document any procedures performed by the physician.
• Other duties as needed.

• High School diploma or equivalent.
• Minimum six months experience as a medical scribe.

• Medical terminology.
• Recognition of physical exam process and ability to record exam details.
• Computer proficiency and ability to quickly learn new applications.
• Organizational skills with focus on tracking patient care and improving patient flow.
• Professional demeanor and recognition of privacy considerations for patients and families.
• Excellent organizational skills along with attention to detail
• Ability to multitask, to manage time and meet time-sensitive deadlines.
• A valid State of Georgia Driver’s License and reliable transportation is required.

Work Environment:
Fast paced environment, large percentage of time walking or standing.