Description: Medical Scribe

Purpose: Medical Scribes are individuals trained in medical documentation who assist a provider throughout their shift. The primary goal is to increase the efficiency and productivity of the physician. It will be the responsibility of the Medical Scribe to annotate any dictated or written information for the treatment of patients following all local, state and federal guidelines for documentation into the electronic health record system. The Medical Scribe will be responsible for clearly recording each patient's symptoms, history, physical exam and documenting the diagnosis. This position will have no direct involvement in patient care but has an interdepartmental role in assisting nursing and front office staff.

Job Duties:

· The primary role of the Medical Scribe is to assist the clinician with documentation of each patient’s medical chart during his or her visit.

· Accompanies the clinician into the patient examination area in order to transcribe a history and physical examination as given by the patient and physician.

· Documents any procedures performed by the clinician or nurses, on the electronic medical chart.

· Is an expert in the use of various templates and documentation techniques available in the EHR system, and use these tools efficiently so individual encounters can be well documented, as well as accurately congregate data collected for statistical reports.

· Transcribes any consultations or discussions with family members and/or the clinician.

· Completes the patient’s chart by transcribing results of any labs, x-rays, or other evaluations. In doing so, the scribe continuously checks on the progress of this data in order to get the patient’s workup complete so that the clinician is able to make his or her decisions regarding that patient.

· Lists all proper diagnoses as well as any follow up instructions and prescriptions, as dictated by the clinician.

· Other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES
· Ability to read, write, understand and spell English and medical terminology correctly.

· Basic Computer proficiency in Windows environment.

· Typing 45 WPM.

EDUCATION & EXPERIENCE
· High school diploma or equivalent.

· Obtain Medical Scribe Certification and Aptitude Test (MSCAT) certification after 200 hours on the clinical floor.

PREFERRED Qualifications
· Previous experience working in an outpatient clinic or doctor’s office.

· Medical Transcriptionist experience.

· Typing 55 WPM or greater.

· Medical Terminology, Anatomy and Physiology Coursework.

General Agency Duties
· Foster an environment that promotes trust and cooperation among all staff of TCC.

· Enforce clinic policies and procedures to ensure that the principles of TCC are implemented.

· Maintain confidentiality of all patients, and employee information.

· Inform manager or supervisor of matters of general interest and problem areas as such are determined or discovered.

· Attend TCC staff and organization meetings as requested.

Customer Service
· Participate in customer service related issues. Adhere to the following customer service values created by TCC

· We are committed to providing quality care and strive to continually improve.

· We strive to treat patients and each other with respect, courtesy and compassion.

· We believe that it is everyone's responsibility to identify problems, take ownership, and contribute to solutions.

· We promote teamwork and cooperation to create an environment that maximizes efficiency and satisfaction.

· We actively encourage open communication and mutual education.

Personal/Behavior
· Displays ability to develop rapport across a broad range of personalities.

· Displays cheerful demeanor and makes positive comments when on duty.

· Refrains from participation in harmful gossip, dysfunctional group interactions and divisive behavior.

· Displays courteous and professional behavior in all interactions with the public.

· Works cooperatively with other staff members.

· Displays flexibility in accepting, changing or carrying out assignments.

· Adheres to dress code expectations, including fragrance-free requirements.

· Displays sensitivity in a multicultural environment.

The Chautauqua Center is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
Due to NY State mandates, the COVID 19 vaccination is a condition of employment at The Chautauqua Center.

Experience:

• Medical terminology: 1 year (Preferred)

Work Location: One location

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