Medical Scribe

Department: Alex Clinic Medical Scribes

Employment Status: Part-Time (.6)- 48 hours per pay period

Benefit Status: Part-Time

Benefits include:

• Health, Dental, and Vision Insurance
• Employee Health Clinic (health +): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan
• Retirement Savings
• Please see more details about our benefits here: alomerehealth.com/careers

Hours

• Monday thru Friday: 7:30am to 4:00pm
• 3 - 3.5 days per week
• No Weekends

Position Objective

The Medical Scribe is responsible for ensuring an accurate and complete medical record for each patient. The Medical Scribe assists the healthcare provider by accompanying them during the medical history-taking and exam, recording details of both into the patient’s medical record.

Essential Responsibilities

EMR Documentation & Utilization

• Accurately and thoroughly document medical visits and procedures, including but not limited to:

Patient Medical history and physical exams, procedures, treatments, diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up

• Identify discrepancies or inconsistencies in medical documentation and check to correct the information in order to reduce errors
  • All addenda must be signed off by a healthcare professional
  • Ensure that clinical data, lab and/or other test results, including the interpretation of the results by the healthcare professional are recorded accurately in the medical record
  • Alert healthcare professional when chart is incomplete
• Proofread and edit all the healthcare professional’s medical documents for accuracy, spelling, punctuation, and grammar

Compliance

• Comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and keeping patient information confidential
• Collect, organize, and catalog data for preparing professional quality
  • Assist in developing and maintaining systems to track patient follow up and compliance
• Attend trainings on diverse subjects such as information technology, legal and regulatory compliance, billing and coding

Union Position

No

Required Qualifications

• High School Diploma or equivalent
• Medical Scribe, transcriptionist or related healthcare experience

Preferred Qualifications

• Experience with Epic EMR
• Medical Scribe Certification

Knowledge, Skills and Abilities

• Ability to quickly assimilate new knowledge into processes and procedures
• Strong computer and typing skills, medical terminology, and communication skills
• Ability to type words and numbers quickly and accurately
• Must comply with HIPPAA confidentiality standards when accessing or communicating patient information
• Knowledge of EMR
• Ability to react calmly and effectively in difficult situations, good organizational skills, and the ability to demonstrate independent judgement and initiative
• Ability to anticipate healthcare professional needs to facilitate the flow of clinic
• Ability to be discreet, tactful, and unobtrusive in performance of duties so as not to distract medical team from patient care
• Strong skill in having good judgement, organizational ability, attention to detail, and the ability to be self-motivated
• Ability to be adaptable and versatile