Job: Physician Scribe Classification: Hourly/NonExempt Job Category: 5 Administrative Support Workers
Position Summary The Medical Scribe will play a crucial role in enhancing the efficiency and accuracy of medical documentation allowing healthcare providers to focus on patient care. The Physician Scribes primary responsibility will be to accompany physicians and healthcare professionals during patient encounters meticulously recording medical histories physical examinations and treatment plans in realtime. With a keen attention to detail and a thorough understanding of medical terminology the Physician Scribe will ensure the creation of comprehensive and precise electronic medical records (EMRs).
Essential Functions Functions at all times under a physician or advanced practitioners direct supervision. Accompanies physician into exam room with patient entering information in the electronic medical record regarding patient symptoms and condition as physician interviews the patient. Transcribes medical decisionmaking in real time under direction of physician creating accurate patient encounter notes. Inputs realtime encounter information into the electronic health record using a wireless device. Edits all completed health records for accuracy regardless of whether clinicians dictated directly into the HER using voice recognition software or the information is keyed in using templates or a combination. Abides by all applicable Titus Regional Medical Center policies and procedures including but not limited to safety matters HIPPAcompliance and patient/computer confidentiality. Retrieves collates monitors and reports laboratory radiology and other diagnostic test results to the Physician in a timely manner. Mindful of patient experience and safety expectations by maintaining professionalism during every encounter including introductions with the patient and explanation of role. Adheres to and follows all patient experience initiatives. Reports to and departs from work on time and as scheduled. Performs other duties as assigned. Must be able to deal with stress while maintaining composure. Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).
Work Experience A minimum of 1 year of work experience in the healthcare field may be considered in lieu of the education. Experience in a direct patient care environment preferred. (EMT scribe clinical technician in hospital setting medical assistant in a doctors office). Health care student medical student preferred. Experience with EPIC HER is preferred. Must have excellent communication skills and be able to understand both written and oral instructions Prior experience as a medical scribe is strongly preferred.
Education Health care student medical student preferred Knowledge of Medical Terminology preferred. Biology coursework at the undergraduate level or above preferred.
Physical Demands and Work Environment Lifting/Carrying Pushing/Pulling Lbs. Time Lbs. Time 110 3 1 033 2 033 5 033 760 033
Movement Time Bend/Stoop/Twist 033 Crouch/Squat 033 Kneel/Crawl 033 Reach Above Shoulder 033 Reach Below Shoulder 033 Repetitive Arm None Repetitive Hand 033 Grasping 033 Squeezing 033 Climb Stairs None Walking Uneven 033 Walking Even 3466
Environment Time Indoors 67100 Outdoors 033 Extreme Heat None Dusty None Excessive Noise 3466
Equipment Time Motor Vehicles None Foot Pedals None Extreme Heat None Dusty None Excessive Noise 033
Work near Time Machinery None Electricity None Sharps None Chemicals 033 Fumes 033 Heights None
Vision Depth Perception Required < 20 Required Color Not Required Peripheral Required
Endurance Hours at Once Total in 12HR Sit 4 8 Stand 1 2 Walk 1 2
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