BRFMC Medical Scribe-Dr. J Wood

Baton-Rouge-Genera; Baton Rouge (LA); On-site; USD 17,000 - 25,000; Part time

Job summary

Baton-Rouge-Genera is seeking a part-time Medical Transcriptionist/Scribe to transcribe medical reports dictated by physicians for inclusion in medical records. The role requires enrollment in a four-year undergraduate program in pre-med or related field and emphasizes HIPAA compliance, accuracy, and confidentiality.

Responsibilities include transcribing a variety of reports, ensuring accuracy and proper formatting, and scribes during examinations.

Qualifications

• Must be enrolled in a four-year undergraduate program majoring in pre-med or related field.
• Knowledge of English grammar, spelling and medical terminology.
• No prior experience required.

Responsibilities

• Transcribes a variety of medical reports with high accuracy, following priority from supervisor.
• Maintains patient confidentiality and follows HIPAA guidelines.
• Scribes for physicians during examinations and treatments, documenting in the electronic health record.
• Ensures reports are properly formatted, checked for spelling, punctuation and medical terminology.
• Performs additional duties as assigned.

Skills

Medical transcription

Attention to detail

Confidentiality

HIPAA familiarity

English grammar & terminology

Education

Undergraduate program in pre-med or related field

Job description

• Employee Type Reduced Part-Time

Description

JOB PURPOSE & MISSION

Transcribes medical reports dictated by physicians for inclusion in the medical records and for transmission to physicians or other medical care facilities.

Essential Job Functions include, but are not limited to:

1. Transcribes a variety of medical reports including histories, physicals, consultations, progress notes, operative/procedure reports, discharge summaries, transfer summaries, and other medical reports.

• Transcribes medical dictation accurately with less than 5% error noted in sampling of reports.
• Transcribes dictation in order of priority as assigned by the supervisor.
• Always safeguards and preserves the confidentiality of records in accordance with departmental policy.
• Demonstrates the ability to maintain all equipment in safe and proper working condition .
• Maintains an acceptable base level of minutes typed per day, according to department standards.

2. Ensures accuracy of processed reports as to spelling, punctuation, sentence structure, appropriate format and medical terminology.

• Demonstrates a thorough working knowledge of medical terminology.
• Obtains and records patient identification and physician identification for each report transcribed with 100% accuracy.
• Consistently p roofs and checks work for completeness, a ccuracy and format.

3. Scribes for physicians during examinations and treatments of patients.

• Accurately gathers information and documents the treatment process in electronic health records system

4. Performs all other duties as assigned .

JOB REQUIREMENTS

Experience

Required: None

Education

Required: Must be enrolled in a four-year undergraduate program majoring in pre-med or related field.

Certifications & Licensure

Required: None

Special Skills or Knowledge

Required: Knowledge of English grammar, spelling and medical terminology

HIPAA & SAFETY REQUIREMENTS

HIPAA - Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Medical records without limitation both paper and electronic, patient demographics, lab and radiology results, patient information related to surgery or appointment schedules, medical records related to quality data, patient financial information, patient billing 3rd party, patient related complaints, information related to patient location, religious beliefs and/or public health records.

SAFETY - Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, handling of wastes, sharps and linen, PPE, exposure control plans, hand washing, environment of care, patient identification, administers/collects medications/blood order, transports/monitors or observes patients with infusion pumps, and monitors clinical alarms.

PERFORMANCE CRITERIA & STANDARDS

Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.

• Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.
• Takes initiative in living our Everyday Excellence values and vital signs.
• Takes initiative in identifying customer needs before the customer asks.
• Participates in teamwork willingly and with enthusiasm.
• Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care.
• Keeps customers informed, answers customer questions and anticipates information needs of customers

Corporate Compliance

Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines and the GHS Corporate Compliance Guidelines.

• Practices diligence in fulfilling the regulatory and legal requirements of the position and department.
• Maintains accurate and reliable patient/organizational records.
• Maintains professional relationships with appropriate officials ; communicates honestly and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.
• Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high.
• Adheres to high moral principles of honesty, loyalty, sincerity, and fairness.
• Upholds the ethical standards of the organization.

Performance Improvement

• Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations.
• Initiates or redesigns to continuously improve work processes.
• Contributes ideas and suggestions to improve approaches to work processes.
• Willingly participates in organization and/or department quality initiatives.
• Effectively manages time and resources.
• Makes conscious effort to effectively utilize the resources of the organization — material, human, and financial.
• Consistently looks for and uses resource saving processes.

Patient & Employee Safety

• Employee effectively communicates, demonstrates , coordinates and emphasizes patient and employee safety.
• Employee proactively reports errors, potential errors, injuries or potential injuries.
• Employee demonstrates departmental specific patient and employee safety standards at all times.
• Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.