Medical Scribe Specialist

Job Title : Medical Scribe Specialist

Reporting To : Client

Employment Status : Full Time

Work Schedule : Follows the Client Schedule

Overall Job Description

Medical Scribes are professionals who specialize in charting doctor-patient encounters in real-time. They also locate information and patients for doctors and complete forms needed for patient care. They help improve the accuracy and efficiency of recording patients’ medical histories in private practices, clinics, hospitals, and other healthcare facilities. Virtual Medical Scribes allow Doctors to focus more on their patients and improve Patient Satisfaction. They act as an extension of the Healthcare providers’ medical back-office team by providing clinical documentation.

Job Responsibilities
  • Interpret and transcribe the dictation into patient history, exam notes, operative reports, referral letters, discharge summaries, and other documents
  • Translate medical abbreviations and jargon into the appropriate long form
  • Identify inconsistencies, errors, and missing information within a report that could compromise patient care
  • Prepares and assembles medical record documentation/charts for physician(s) as well as monitoring of laboratory results and screening procedures.
  • Communicate with the Physician/nurse over phone and capture and transcribe medical record information and documentation into the given applications.
  • Ensures medical record compliance by self-documentation attestation.
  • Updates patient history, physical exam, and other pertinent health information in the patient
  • Prepares and sends all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures.
  • Monitors the duration of basic lab results and screening procedures.
  • Listen to recorded or live audio files capturing physician – patient interaction and perform
  • medical scribing activity.
  • Complies with hospital and medical facility policies, including those relating to HIPAA and Joint Commission.
  • Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.
  • Complies with hospital and medical facility policies, including those relating to HIPAA and Joint Commission.
  • Provided comprehensive documentation of key clinical information based on client templates.
  • Edit / Modify any documentation that is rejected by providers.
  • Ensure highest level of quality.
  • Promptly respond to provider queries about the scribed information and any documentation.
  • Interact with the client via email and/or phone (if required).
  • Performs other duties and tasks to improve productivity and workflow as assigned.
  • Follow up with the healthcare provider to ensure that reports are accurate
  • Submit health records for physicians to approve
  • Follow patient confidentiality guidelines and legal documentation requirements
  • Enter medical reports into electronic medical records (EMR) systems
  • Complies with hospital and medical facility policies, including those relating to HIPAA 
Skills and Qualifications Requirement
  • Bachelor’s / College Degree
  • Minimum of 2 years’ experience of Medical Scribing and/or Transcription 
  • Excellent communication, time management and computer skills
  • Excellent oral & written communication and listening comprehension.
  • Customer Service Skills for interacting the doctors, physicians, and patients
  • Proficiency with Microsoft Applications
  • Highly organized with a strong attention to detail
  • Comfortable in a fast-paced environment
  • Approachable, professional, discrete, and personable
  • Ability to provide high-quality customer service and follow through on all assignments.
  • Can work under pressure and with minimal supervision.
  • Has initiative and can meet deadlines.
  • Amenable to work in night shift working schedule.
  • Can start ASAP!

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