Medical Scribe - Ortho Specialist - Scottale - Abrazo Medical Group

General Summary:

The specific tasks of the scribe are dependent upon the physician/.provider. The core responsibility of the scribe is to follow the provider throughout the assigned time period and chart patient encounters in real-time using a medical office's Electronic Health Record, existing templates or paper records. The scribe is limited to recording interactions as dictated by the physician/provider and as such must not interject their own observations or impressions. The position is a clerical role and does not involve direct patient care.

Essential Job Responsibilities:

1. Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
2. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
3. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
4. Chart patient encounters in real-time during office visits
5. Reviews documentation to determine accuracy
6. Manage and sort medical documents in the EMR system
7. Generate referral letters for physicians
8. Assist physician with e-Scribing.
9. Assist with other office functions as needed.

Education: High school diploma/GED required with completion medical office assistant or Medical Assisting program.

Certification: CPR certifications

Experience:

Must have a minimum of 2 years of experience working in a physician practice setting

Performance Requirements:

Knowledge:

1. Knowledge of electronic medical records
2. Knowledge of medical terminology, anatomy and physiology (e.g. successful completion of a medical terminology course or equivalent training and experience)
3. Knowledge of referral process
4. Knowledge of e-scribing process
5. Knowledge of the policies and procedures of the organization to complete tasks in accordance with corresponding policies.

Skills:

1. Skill in multi-tasking.
2. Skill in customer service.
3. Skill in computer hardware and software use.
4. Skill in verbal and written communication.
5. Skill in exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
6. Skill in analyzing situations accurately and taking effective action.
7. Skill in establishing and maintaining effective working relationships with employees, policy-making bodies, third-party payers, patients, and the public.
8. Skill in organizing work, making assignments, and achieving goals and objectives.
9. Skill in exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures.

Abilities:

1. Ability to multi-task, manage details and organize efficiently and effectively.
2. Ability to read, interpret, and apply policies and procedures.
3. Ability to set priorities among multiple requests.
4. Ability to interact with patients, medical and administrative staff, and the public effectively.
5. Ability to use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment.