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SB CLINICAL PRACTICE MANAGEMENT PLAN INC · 4 months ago

Scribe

Lake Grove, NY

Full-time

Onsite

Entry Level

$20/hr - $20/hr

1+ years exp

SB Clinical Practice Management Plan Inc is seeking a Scribe for their University Associates in Obstetrics & Gynecology. The role involves providing clerical and IT support for a physician, primarily focusing on the operation of electronic health records and documenting medical visits and procedures accurately.

Hospital & Health Care

Responsibilities

Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to Patient medical history and physical exam, Procedures and treatments performed by healthcare professionals, including nurses and physician assistants, Patient education and explanations of risks and benefits, Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up

Identify mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. All addenda must be signed off by a physician

Ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record

Alert physician when chart is incomplete

Comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential

Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding

Quickly assimilate new knowledge into processes and procedures

Proofread and edit all the physician's medical documents for accuracy, spelling, punctuation, and grammar

Additional duties as assigned

Qualification

Electronic medical recordsMedical terminologyTyping proficiencyMicrosoft Office WordHIPAA complianceJudgmentBilingualAttention to detailOrganizational ability

Required

High School Diploma/GED

Proficient in typing, spelling, punctuation, grammar, and oral communication. Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills required to generate professional, polished writing at a high rate of production

Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports

Must be able to learn and use all functions of electronic medical record software and transcription software

Must accurately enter data into a database, search for information, send and receive email and attachments

Must be able to type words and numbers quickly and accurately

Must comply with HIPAA confidentiality standards when accessing or communicating patient information

Good judgment, organizational ability, initiative, attention to detail

Must be proficient in Microsoft Office Word and Excel

Preferred

1 year of experience as Scribe or Medical Assistant (must have graduated from an MA program) or in a medical office. Scribe certification will be considered in lieu of experience or college coursework as related to position

Bachelor's degree

Ability to type 50-60 words per minute

Bilingual