Responsibilities:

• Preparing and assembling medical record documentation/charts for the physician.
• Taking notes during patient visits and documenting them in our Electronic Medical Records system.
• Accompanying physician during patient visits.
• Documenting physician-dictated patient history, physical examination findings, etc. as directed by physician.
• Working closely with the physician to complete and submit medical records.
• Communicating with patients and physicians professionally.
• Preparing voice recordings for transcriptions and reviewing medical documents for errors, typos, and inconsistencies.

Skills/Abilities:

• Must demonstrate the knowledge and skills necessary to document patient care as dictated by a physician in a legible and clear manner, following all local, state, and federal guidelines for documentation.
• Must demonstrate an ability to maintain confidentiality and privacy in accordance with governing HIPAA regulations.
• Must demonstrate organizational ability to maintain and coordinate multiple charts and documentation related to patient care.
• Responsive to improvement opportunities in a positive manner.
• Fast learner.
• Excellent interpersonal, written, and verbal communication skills
• Ability to work in a fast-paced environment.
• Strong organization, multitasking, and attention to detail

Education and Experience:

• High school diploma or equivalent required.
• Medical terminology knowledge required.
• Proficient in computer systems.
• Either a current college student on a healthcare pathway (nursing, PA school, etc.) and/or a Certified Medical Assistant with Scribe experience.

Physical Requirements:

• Must be comfortable standing for long periods of time.
• Must be able to lift up to 15-20 pounds at a time.
• Prolonged periods of sitting at a desk and working at a computer.