Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Medical Scribes must be proficient in typing and good at spelling, punctuation, grammar, and oral communication. Language SkillsВ вЂ“ The ability to write routine reports and correspondence. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The requirements listed below are representative of the knowledge, skill, and/or ability required. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Medical Scribes proofread and edit all the physicianвЂ™s medical documents for accuracy, spelling, punctuation, and grammar. Quickly assimilate new knowledge into processes and procedures. You will assist in developing and maintaining systems to track patient follow up and compliance.ДЄttend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding. Medical Scribes collect, organize and catalog data for physician quality reporting system and other quality improvement efforts and format for submission. Medical Scribes must comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential. Alert physician when chart is incomplete. Medical Scribes ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record. All addenda must be signed off by a physician. Medical Scribes also spot mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. You may be asked to research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and other clerical tasks as assigned. Medical Scribe also ensure that letters are mailed or faxed on a daily basis to all physicians involved in a patientвЂ™s care, and with all copies of pertinent reports or tests attached. Medical Scribes are asked to prepare referral letters as directed by the physician, via dictation or summary of the medical record.

Prepare referral letters as directed by the physicianДictation/faxing/phone calls and clerical tasks.

Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up.

Patient education and explanations of risks and benefits.

Procedures and treatments performed by healthcare professionals, including nurses and physician assistants.

Patient medical history and physical exam,.

Some of the more detailed job duties and responsibilities of a Medical Scribe are:ДЄccurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to: Good attendance is also an important element of this job since you will be hard to replace. You must be adaptable and versatile since you will be responsible for many tasks. Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated are especially important when working as a Medical Scribe.

Medical Scribes must be discreet, tactful, and modest in performance of duties so as not to distract medical staff from patient care. You also must be able anticipate physician needs to facilitate the flow of clinic. This includes primary responsibility of the operation of the electronic health records and electronic dictation system. The Medical Scribe allows the doctor to focus on what is most important, the patient.ДЄ summary of a Medical Scribes duties include performing all clerical and information technology functions for a physician in a clinic setting. The primary goal of a Medical Scribe is to increase the efficiency and the productivity of the physician they are working for. Medical Scribes are individuals trained in medical documentation who assist a physician throughout their shift.

Medical scribe requirements