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MEDICAL SCRIBE - OBGYN

Department:  Allied Health
Status:  Full Time
Shift:  1st

A Medical Scribe acts as the personal assistant to the physician performing all documentation functions in the EHR system. The Scribe accompanies the Physician into the patient examination room and accurately transcribes the history, physical exam, documents the encounter and others present with the patient at the time. Documents all procedures performed and advise provided by the Physician.

 

Essential Functions

• Accompanies the Physician into the patient examination room to transcribe a history and physical exam.

• Documents all procedures performed by the Physician.

• Document accurately the Physician’s encounter with the patient and others present.

• Accompany the physician during the patient interview and examination.

• Document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies.

• Document physical examination findings and procedures as performed by the physician.

• Document the results of laboratory and radiographic studies as dictated by the physician.

• Document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient

• Lists all proper diagnoses and symptoms as well as follow-up instructions and prescription as dictated by the Physician.

• Transcribes patient orders including laboratory results, radiology tests, medications etc.

• Clinical Care: Ensure that quality patient care is delivered to all patients on a 24-hour basis, and the unit is maintained in accordance with professional and regulatory standards and the philosophy and goals of Hoag.

• Position may require local travel between various locations.

• Perform other duties as assigned.

 

Education, Training and Experience

Required:

High school diploma or equivalent. Minimum six months experience as a medical scribe or 6 months related experience and/or training or equivalent combination of education and experience. Skills in working with the .EHR system and Outlook  

 

Skills or Other Qualifications

Required:

Read/Interpret documents, ability to write reports/correspondence, speak clearly/concisely, Language: English, Bilingual is a plus, Listen Effectively, Interface with the Public Flexibility/Adaptive to change, ability to work under Stressful Conditions, Customer Service, Teamwork/Team Player, Organization Skills, ability to Multi Task. Ability to maintain patient confidentiality


Nearest Major Market: Orange County
Nearest Secondary Market: Los Angeles

Job Segment: Medical, Law, Radiology, Patient Care, Medical Lab, Healthcare, Legal

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