Description:
Summary/Objective:
The Medical Scribe is responsible for assisting providers with patient care by controlling patient flow, obtaining and documenting the history and vital signs, performing assigned procedures, and providing patient education. Accompanies provider in room and documents clinical notes, laboratory results, prescription refills, procedures, billing information, and any other documentation as directed by the provider.
Essential Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.
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Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
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Patient medical history and physical exam,
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Procedures and treatments performed by healthcare professionals, including nurses and physician assistants.
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Patient education and explanations of risks and benefits.
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Physician-dictated diagnoses, prescriptions, and instructions for patient or family members for self-care and follow-up
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Prepare referral letters as directed by the physician
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Ensures medical record compliance by self-documentation attestation.
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Prepares and sends all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures.
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Monitors the duration of basic lab results and screening procedures.
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Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned
Knowledge/Skills/Abilities:
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Promote the mission, vision, and values of Galen Medical Group.
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Maintain confidentiality of all patients, medical, financial, and legal information.
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Report to work on time and as scheduled.
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Wear identification during work hours.
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Represent the organization in a positive & professional manner.
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Ability to handle difficult situations involving patients, physicians, or others in a professional manner.
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Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
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Comply with all organization policies and standards regarding ethical business practices.
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Participate in performance improvement and continuous quality improvement activities.
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Attend regular staff meetings and in-services as directed by your manager.
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Consistently demonstrate the value of team concept.
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Ability to manage multiple and simultaneous responsibilities.
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Complete assignments efficiently and in a timely manner.
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Understands and abides by OSHA, HIPAA & CLIA standards.
As part of the Galen Medical Group, the applicant must be a team player and provide excellent customer service while assessing our patients needs efficiently. Perform all duties in compliance with Galen Medical policies, HIPAA, and OSHA standards.
Galen Medical Group is a member of the TN Drug-Free Workplace and it is a requirement that we conduct a pre-employment drug screen, as part of the hiring process.
Requirements:
Qualifications:
Education:
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High school graduate or equivalent.
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Completion of a Medical Assisting program from a nationally accredited institution
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CPR trained and certified.
Preferred:
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Medical Assistant Certification from a Nationally Accredited Institution.
Experience:
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6 months or more experience as a Medical Scribe.
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6 months or more related experience and/or training, or equivalent combination of education and experience.
Skills/Certifications:
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Medical terminology experience.
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Recognition of physical exam process and ability to record exam details.
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Computer proficiency and ability to quickly learn new applications.
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Legible handwriting and ability to accurately record information.
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Organizational skills with a focus on tracking patient care and improving patient flow.
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Professional demeanor and recognition of privacy considerations for patients and families.
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Ability to multi-task efficiently and effectively.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
