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Medical Scribe - CMA - Transcriptionist

Memphis, TN 38111

Shea Clinic - East Memphis

Posted 21 weeks ago
Discuss pay at interview
Job Description

JOB SUMMARYThe Scribe works to facilitate patient flow through the clinic and ensure an accurate and complete medical record for each patient. The Scribe assists the physician by accompanying them during the medical history-taking and exam, recording details into the medical record, and coordinates resources regarding tests, orders, radiology and results.
EXPECTATIONS FOR ALL EMPLOYEESTreat patients in a friendly, respectful, professional manner and exceeds our expectations. Reflects the mission statement of ADVANCED ENT AND ALLERGY.
JOB RESPONSIBILITIESThe primary role of the medical scribe is to assist the physician with documentation of each patient’s medical chart during his or her stay visit.Records details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies. Accompanies the physician into the patient examination area in order to transcribe a history and physical examination as given by the patient and physician. Documents accurately the physician’s encounter including pertinent positives and negatives, noted abnormalities and patient general condition.Under the direction of the physician, transcribes patient orders, including laboratory tests, radiology tests, medications, etc.Documents any procedures performed by the physician on the medical chart. Completes the patient’s chart by transcribing results of any labs, x-rays, or other evaluations. Lists all proper diagnoses as well as any follow up instructions and prescriptions, as dictated by the physician.Physician approves every task of the scribe and takes full responsibility, with their signature, for the information recorded in their patients’ charts. If orders are not completed in a timely fashion or if results are incomplete, troubleshoot for causes and solutions.Use E-prescribe in practice management system to send prescriptions to pharmacyUnder the direction of the physician, calls in prescriptions / refills to pharmacyTriage patient messagesUnder the direction of the physician, reviews patient messages Manages patient telephone calls Provides reports to physician prior to patient examProvides pre and post op patient education and education materialWillingly to assist others in your department when you are available.Communicate problems with patients, Physicians or other personnel to Administration.Maintains the confidentiality, security, and physical safety of all patients and patient information.Organize and maintain work area.Back up team members in their absence.Work assignments and prioritize.

Experience: Working knowledge of medical terminology and accepted abbreviations. Recognition of physical exam process and ability to record exam details Communication skills and the ability to coordinate and cooperate with multiple members of the health care team. Organizational skills with focus on tracking patient care and improving patient flow. Professional demeanor and recognition of privacy considerations for patients and families. Typing and general computer skills. Good grammar and punctuation and spelling. Excellent English language skills. Strong interpersonal communication skills. Ability to multi-task. Self-directing and pro-active after understanding goals. Willingness to learn the basics of ENT.
Appearance: Always professional, well groomed. Follows personnel policy.
Mental/Judgment: Ability to prioritize simultaneous demands and remain calm. Ability to differentiate urgency of presenting problem and/or task for professional guidance (i.e. Physician, Supervisor of Department). Proactive in evaluating ways to improve efficiencies of work processes.
Working ConditionsFlexibility in schedulingCoping with the sometimes high-pressure environment Well-lighted and ventilated rooms.
Physical DemandsStanding for long periods of timeFrequent walking for short distancesRepetitive motion work with keyboards, physical writing
Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, either formally or informally, either verbally or in writing.
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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