Medical Scribe

Responsibilities

• Correctly summarizes and documents what the physician verbalizes during an examination, including but not limited to: proper charting of the examination, documenting additions to the chief complaint, assessment and recommendations for treatment

• Prepares documents and correspondence using dictation or written medical records
  

• Reviews medical documents and report and correct errors or inconsistencies
  

• Knows required components of examination for appropriate CPT coding to ensure all elements are accurately completed.

• Understands Medicare and other common insurance requirements for quality reporting in order to help practice comply with payer requirements.

• Collects, organizes, and stores data in written or electronic form
  

• Helps maintain the patient flow by seating patients into empty exam room to prep for physician.

• Guides patients to front desk after completion of exam and ensures proper follow-up appointments are communicated to the front desk to be made before the patient leaves.

• Becomes fluent in the exact requirements of each examination.

• Accommodates the needs of the patient for the exam

• Ensures patient understands all instructions.

• Evaluates the condition of the examination room to ensure adequate supplies are in stock.

• Complies with HIPAA (Health Insurance Portability and Accountability Act), ethical and legal regulations

Skills/Abilities

• Familiarity with medical terminology

• Training and understanding of HIPAA requirements and the importance of maintaining patient confidentiality.

• Strong, professional interpersonal skills.

• Demonstrated respect for staff and patients.

• Excellent written and verbal communication.

• Team-orientation.

• Management of multiple projects simultaneously.

• Strong organization with attention to detail.

• Legible handwriting.

• Computer literacy.

• Minimum keyboarding/typing speed of 45 wpm.

• Ability to educate patients and communicate instructions related to physician’s treatment plan.