POSITION RESPONSIBILITIES

General Duties:

The medical scribe is responsible for assisting, at the elbow or virtually, medical providers with chart documentation and finalizing of encounters. The medical scribe is responsible for real-time documentation of patient-physician encounters. The medical scribe must have a good rapport with providers, adequate knowledge of billing, coding, medical terminology, medical abbreviations, and overall documentation skills. Must demonstrate excellent communication skills.

Specific Duties

• Gathers and documents information about the patient’s visit into the electronic health record.
• Monitors test results and notifies provider accordingly.
• Assist in managing the flow of patients within the clinic setting.
• Updates patient details (e.g. history, demographics, physical exam, etc.) as applicable.
• Works in harmony with clinic staff, patients, and visitors by exhibiting a positive attitude and a commitment to MCHC’s mission, vision, and values.
• Understands organizational goals and performs job duties in a manner consistent with those goals.
• Participates in departmental and organization-wide Performance Improvement activities.
• Participates in all staff educational and in-service training programs.
• Assists in the orientation, training, and instruction of new employees.
• Follows, at all times, established organizational safety/security-related policies and procedures, federal OSHA guidelines, and emergency management plans.
• Demonstrates acceptable professional conduct, interpersonal and communications skills with patients, peers, and other healthcare professionals.
• Maintains professional appearance and follows established dress code.
• Maintains patient and staff confidentiality.
• Demonstrates reliability and dependability in meeting work schedules, the fulfillment of responsibilities and commitments, in daily attendance, punctuality, productivity, and efficiency.
• Maintains awareness of new information applicable to the position’s duties and responsibilities (e.g., policies, meeting minutes, procedures, memoranda, protocols etc.).

The primary portion of work is in a well-lit, ventilated, and air-conditioned facility. It may require prolonged, extensive sitting/standing. Position may require stooping, kneeling, crouching, reaching, handling, and/or use of tactile information. The individual must be able to express ideas or exchange thoughts by means of talking, hearing, reading, and/or writing. The individual should have motor coordination, manual dexterity, finger dexterity, eye-hand-foot coordination. This position may include transporting objects, and lifting up to

50 pounds.

Qualifications and Education Requirements

The position requires high school graduation or the equivalent (GED).

Certified or Registered Medical Assistant preferred

Position Supervised by:

This position is provided general supervision from the MCHC Director of nursing. on-site administrative supervision is provided by the clinic administrator and/or Office Manager.

Personnel Supervised by this position:

None