Medical Scribe

What Youll Do

Position Summary

The Clinical Informatics Specialist (CIS) collaborates with Suvida Healthcare primary care providers and assumes a vital role within the Care Team. The primary focus is on ensuring the accuracy and efficiency of medical documentation during patient encounters. Working closely with primary care providers the CISscribesand records medical histories physical examinations diagnostic tests treatment plans and other pertinent information into electronic health record (EHR) systems. The CISs support empowers healthcare professionals toallocatemore time to patient care whilemaintainingcomprehensive and precise patient records.

Responsibilities

• Patient Encounter Documentation:Accompanyhealthcare providers during patient visits and accurately document all relevant medical information including medical histories physical examinations diagnostic tests and treatment plans in real-time.

• EHR Management: Navigate and proficientlyutilizeelectronic health record (EHR) systems to input and manage patient data ensuring that all documentation adheres to compliance and confidentiality standards.

• Chart Review:Regularly review and organize patient charts ensuring completeness and accuracy of information and addressing inconsistencies or discrepancies.

• Effective Communication: Act as a liaison between healthcare providers and other team membersfacilitatingthe exchange ofimportant information requests and follow-up instructions.

• Data Entry and Coding: EnteraccurateICD-10 and CPT codes for diagnoses procedures and services provided during patient encounters.

• Liaison for Documentation Queries: Serve as a liaison between the coding team and providers to ensure thetimelyresolution of documentation queries.

• Morning Huddle Preparation: Conduct thorough research of patients historical charts and external data to enhance the morning huddle presentation.

• Quality Metrics Management:Oversee measurement analysis and reporting of healthcare quality metrics.Identifyand close gaps in care to ensureoptimaloutcomes.

• Population Health Optimization: Analyze population health and coding strategies to enhance patient stratificationidentifyingat-riskpatientsandassistingin enrolling them in chronic care management protocols.

• Evidence-Based Research: Stay updated on evidence-based medical protocols and provide revised data to the care team.

• Maintain Confidentiality: Adhere to strict patient privacy and confidentiality regulations (e.g. HIPAA) and ensure that all patient data is handled with the utmost discretion.

What Youll Bring

Knowledge Skills and Abilities

• Clinical Experience: Minimum of 2 years of clinical experience.

• Medical Knowledge: Familiarity with medical terminology anatomy and physiology isa plus.

• Medical Scribe Experience: Prior experience as a Medical Scribe is preferred though not obligatory.

• EHR Proficiency: Ability to efficiently use electronic health record (EHR) systems.

• Technical Skills: Strong typing skills and advanced computerproficiency.

• Communication:Effectivewritten and verbal communication skills.

• Adaptability: Ability to thrive in a fast-paced clinical environment with a commitment to accuracy.

• Organizational Skills: Strong organizational skills effective time management and problem-solving capabilities.

• Mobility:Willingness to move between Neighborhood Centers as needed.

• Bilingual:Proficiencyin both English and Spanish isrequired.

Education Experience Licensure or Certification Requirements

• Education:Bachelors degree in a healthcare-related field preferred.

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any typewithregard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.