Scribe; Outpatient); Lodi Urgent Care Day Shift

Job Summary

Assists physicians in hospital and clinic setting to efficiently compile complete and detailed electronic medical records/patient charts. Documents medical visits and procedures as they are being performed by physician including, but not limited to, patient medical history and physical exam, procedures/treatments performed by healthcare professionals, patient education and explanations of risks and benefits, physician-dictated diagnoses, and prescriptions and instructions for patient or family members for self care/follow-up.

Education and

Work Experience:

• High School Education/GED or equivalent:
  Required
• Associate’s/Technical Degree or equivalent combination of education/related experience:
  Preferred

• Prepares referral letters as directed by the physician, via dictation or summary, of the medical record. Ensures letters are mailed or faxed on a daily basis to all physicians involved in patient’s care, and with all copies of pertinent reports or tests attached.
• Researches contact information for referring physicians, coordinates referrals, prepares operative reports, makes phone calls and performs other clerical tasks as assigned.
• Spots mistakes or inconsistencies in medical documentation and checks to correct information. Ensures all clinical data, lab or other test results, and the interpretation of the results by the physician are recorded accurately in the medical record. Alerts physician when chart is incomplete.
• Complies with specific standards and legal/ethical requirements for preparing medical documents and for keeping patient information confidential.
• Collects, organizes and catalogs data for Physician Quality Reporting System and other quality improvement efforts. Formats for submission. Assists in developing and maintaining systems to track patient follow-up and compliance.
• Performs other job-related duties as assigned.

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.