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Medical Scribe Specialist

Job Title : Medical Scribe Specialist

Reporting To : Client

Employment Status : Full Time

Work Schedule : Follows the Client Schedule

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.

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

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!

Medical Scribe Specialist

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