JOB SUMMARY

A Medical Scribe performs all clerical and information technology functions for a physician. The duties of a Medical Scribe are to document the patient history, physical examination, social history, family history, past medical history, impressions made by the physician, and any additional information pertinent to the patient’s visit. The position does not have direct involvement with patient care and works under the supervision and direction of a physician. The purpose of a Medical Scribe is to increase the efficiency and the productivity of the physician they are working with.

RESPONSIBILITIES

Essential Functions

Demonstrates a commitment to the mission of Swedish Hospital/Medical Group and demonstrates a service orientation and adheres to all policies, responsibilities and standards of the organization.

Access to Protected Health Information.

• Accompany the physician into the exam room and accurately transcribe the patient’s history and physical exam.
• Transcribe all pertinent diagnoses, symptoms, and any follow-up instructions.
• Document performed procedures and treatment.
• Prepare and print or publish to the patient portal patient education material.
• Create referrals and letters as directed by the physician.
• Perform other duties, including administrative duties, as needed or assigned.

PATIENT CARE/AGE SPECIFIC RESPONSIBILITIES AND QUALIFICATIONS

• Medical Terminology
• Recognition of the physical exam process and the ability to record the exam and or procedure findings and details.
• Comply with legal and HIPPA standards and requirements.

QUALIFICATIONS/BASIC JOB REQUIREMENTS

• Education: Minimum of two years of an undergraduate education. Pre-medical studies preferred, but not required. Two years of experience working in the medical transcription field or an equivalent combination of both education and experience preferred.
• Must be able to type 70 words per minute accurately in grammatically-correct English.
• Knowledge of CPT & ICD-10 coding procedures preferred.
• Knowledge of medical terminology.
• Strong organization and interpersonal skills with the ability to multi-task efficiently and effectively.
• Ability to effectively use basic office software (Excel, Outlook, Word, etc.)
• Must be able to act calmly and effectively in a busy or stressful situation.
• Ability to communicate effectively in the English language in person, by phone and in writing.
• Requires adherence to all policies and procedures, including but not limited to standards for safety, attendance, punctuality and personal appearance.
• Must be able to establish and maintain effective working relationships with patients, medical staff, management and peers.

LICENSE/CERTIFICATION

INTERNAL AND EXTERNAL CONTACTS

• Patients, vendors, visitors, co-workers, organization providers, and staff/providers from referring offices.

ENVIRONMENT

• Participates in maintaining an environment that is conducive to patient care, comfort, and privacy, as well as, employee safety.
• Recognizes hazardous conditions and responds either by correcting the situation or reporting it to the Practice Manager/Administrator.
• Demonstrates safe and proper usage of all health center equipment and attends equipment usage in services when offered.
• Ensures waiting room, examination and treatment rooms, bathrooms, medical record area, kitchen and all areas of the health center are clean and clear of refuse.
• Potential exposure to airborne disease. The same as for any individual working in a hospital environment that is dependent on a ceiling ventilation system for in flow and out flow of air.

The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification and the specific functions of the individual occupying the position of.

Required