| Requisition Number |
15-0707 |
| Post Date |
1/28/2016 |
| Title |
Scribe |
| City |
Denton |
| Location |
Denton Urology 2817 S. Mayhill Rd., Suite 220, Denton, TX 76208 |
| Description |
Job Purpose: The Scribe works closely with the Physician to accurately document a patient’s encounter.
Duties/Responsibilities:
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
• Accompany physician into the patient examination room in order to document accurately the physician’s encounter with the patient and others present to include HPI/Past Medical History/ROS/Medications/Social History/Family History/Allergies.
• Reviewing prior medical records to obtain past medical history information and prior labs, ECGs and radiographic studies for comparison.
• List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated
by the physician.
• Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
• Document any procedures performed by the physician.
• Maintain professional appearance and conduct at all times.
• Adhere to employer work practices.
• Establish and maintain effective working relationships with physicians, staff and management.
• Effectively cope with typical job stress.
• Document work processes as required.
• Perform other duties as assigned.
• Travel to other clinics to scribe for other physicians as needed.
• Knowledge of billing codes to help increase a provider’s charting efficiency.
• Maintain confidentiality at all times according to USMD policy and procedures and HIPPA requirements.
Core Competencies:
• Medical Terminology
• Computer proficiency
• Documentation
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| Requirements |
Skills/Qualifications:
• Medical terminology.
• Recognition of physical exam process and ability to record exam details.
• Computer proficiency and ability to quickly learn new applications.
• Able to type at least 40 word per minute
• Legible handwriting and ability to accurately record information.
• Organizational skills with focus on tracking patient care and improving patient flow.
• Professional demeanor and recognition of privacy considerations for patients and families.
• Ability to multi-task efficiently and effectively.
• Must be able to act calmly and effectively in a busy or stressful situation.
• Ability to communicate effectively in the English language in person, by phone and in writing.
• Requires adherence to all policies and procedures, including but not limited to standards for
safety, attendance, punctuality and personal appearance.
• Must be able to establish and maintain effective working relationships with managers and peers.
• High school diploma or equivalent.
• As required for current licensure held i.e.-CMA, LVN, RN
• 6 months experience as a Medical Scribe or 6 months related experience and/or training, or equivalent combination of education and experience.
Physical Demands:
• Hearing: Adequate to perform job duties in person and over the telephone.
• Speaking: Must be able to communicate clearly to patients in person and over the telephone.
• Vision: Visual acuity adequate to perform job duties, including reading information from printed
sources and computer screens.
• Requires occasional lifting and carrying items weighing up to 10 pounds unassisted.
• Requires frequent bending, reaching, and repetitive hand movements (specifically keyboarding and writing)
• Requires standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly
throughout a regular work shift.
The above is intended to describe the general content and requirements for the performance for this position.
It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
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