Job Summary: The Medical Scriber provides essential support to healthcare providers by documenting patient encounters in real-time. This role ensures accurate and timely medical records, enhancing the efficiency of patient care and enabling providers to focus on patient interaction.
Key Responsibilities:
- Real-Time Documentation:
- Accurately record patient histories, physical exams, and treatment plans during patient visits.
- Ensure comprehensive and clear documentation in electronic health records (EHR).
- Collaboration with Healthcare Providers:
- Assist physicians and other healthcare professionals by capturing pertinent information during consultations.
- Clarify and summarize patient information as needed for thorough documentation.
- Patient Interaction:
- Greet patients and prepare them for examinations, ensuring a comfortable environment.
- Communicate effectively with patients regarding the scribing process.
- EHR Management:
- Input data into the EHR system promptly and accurately.
- Review and update patient records, ensuring compliance with privacy regulations.
- Quality Assurance:
- Review documentation for accuracy and completeness before finalizing entries.
- Maintain a high standard of confidentiality and patient privacy.
- Administrative Support:
- Assist with scheduling appointments and coordinating follow-up care as required.
- Perform other administrative tasks as needed to support the healthcare team.
Qualifications:
- Bachelor's Degree, High school diploma or equivalent; additional education in health sciences preferred.
- Familiarity with medical terminology and healthcare practices.
- Proficient in EHR systems and Microsoft Office Suite.
- Strong attention to detail and excellent communication skills.
- Ability to multitask and work efficiently in a fast-paced environment.
Physical Requirements:
- Ability to sit for extended periods during patient encounters.
- May require occasional lifting of medical supplies or equipment.
Work Environment:
- Typically works in a clinical or hospital setting, collaborating closely with healthcare teams.
