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.