Scribe

Job Description

Job Description

Job Title : Medical Scribe

Schedule : Monday - Pleasanton Office; Tuesday and Wednesday - San Ramon Office

Qualifications : At least 1 year of previous Medical Scribe experience. EPIC highly preferred. Prior courses in medical terminology preferred. Able to type at least 60 wpm. Have some experience in office management setting.

Skills or Other Qualifications : Excellent communication skills, basic knowledge of computers, strong interpersonal skills, ability to work in a team environment, flexibility to travel to different office locations.

Essential Responsibilities :

• Accompany the physician and / or mid-level provider into the patient examination area in order to transcribe findings in real time as the provider evaluates the patient.
• Document history of the patient’s chief complaint as given by the patient and communicated by provider.
• Document the physical examination as given by patient and communicated by provider.
• Transcribes under the direction of provider, patient orders, including laboratory tests, imaging tests, and medication orders
• Looks up pertinent past medical records at the direction of the provider.
• Keeps track of and enters the results of imaging / lab studies as directed by the provider.
• Lists proper diagnosis and discharge / follow-up instructions and prescriptions, as dictated by the provider.
• Enters in level of service for the designated code assigned by the provider.
• Assures that the EHR is complete and all pertinent documentation requirements are met.
• Retrieve completed lab results.
• Occasional prior authorizations.
• Be involved in special projects as needed.
• Provide some patent education such as inhaler technique and Epipen techniques, etc.
• Create letters and forms for patients and providers as needed.

Qualifications :