Job Opportunities in United States


November 7, 2024

Diabetes & Glandular Disease Clinic P A

San Antonio


Clinical Scribe

SUMMARY:
The Scribe is responsible for assisting healthcare providers by documenting patient interactions and maintaining accurate medical records. This role involves real-time transcription of patient visits, managing electronic health records (EHR), and supporting the clinical team to enhance workflow efficiency and patient care.

DUTIES AND RESPONSIBILITIES:
  • Document Patient Encounters: Accurately and efficiently document patient history, physical exam findings, procedures, lab results, and any other pertinent information during patient visits.
  • Manage EHR: Ensure all information is correctly entered into the EHR system, update patient charts, and maintain the integrity of medical records.
  • Support Clinical Workflow: Assist healthcare providers by preparing charts for upcoming patient visits, organizing, and updating medical information, and retrieving patient records as needed.
  • Coordinate Patient Care: Facilitate communication between providers, patients, and other medical staff to ensure continuity and quality of care.
  • Administrative Tasks: Perform various administrative duties such as scheduling appointments, handling correspondence, and managing patient referrals.
  • Confidentiality and Compliance: Adhere to all HIPAA regulations and maintain the confidentiality of patient information. Ensure compliance with all relevant laws, regulations, and organizational policies.
  • Continuous Improvement: Participate in training and development opportunities to stay current with EHR systems, medical terminology, and best practices in clinical documentation.
  • Performs other duties as assigned.
Qualifications:
Education: High school diploma, GED or equivalent; some college or a degree in healthcare or related field preferred.

Experience: Previous experience as a scribe, medical transcriptionist, or in a clinical setting is highly desirable.
Technical Skills: Proficiency with EHR systems (preferably Athena), medical terminology, and Microsoft Office Suite.
Communication Skills: Excellent verbal and written communication skills. Ability to interact professionally with healthcare providers, staff, and patients.
Attention to Detail: Strong organizational skills and attention to detail to ensure accuracy in documentation.
Adaptability: Ability to work in a fast-paced environment, manage multiple tasks simultaneously, and adapt to changing priorities.

Work Environment:
  • Work is performed in an interior medical/clinical environment
  • Moderate physical activity. Required handling average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day

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