Clinical Documentation Scribe II - EHR Support

Camc-Health-System

Beckley (WV)

In loco

USD 17.000 - 25.000

Tempo pieno

14 giorni+

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Descrizione del lavoro

Charleston Area Medical Center is seeking a medical scribe to capture accurate documentation of patient encounters in the EHR or handwritten records. Scribes do not make independent decisions in entering information.

The role involves navigating the EHR with physicians, responding to messages, and locating review materials such as prior notes and test results. Training will cover Dragon and Cerner systems to ensure smooth charting.

Competenze

  • High school diploma or GED required; 2 years in medical office or hospital setting preferred.
  • Experience in medical transcription preferred.
  • Substitution: formalized training in medical transcription or terminology may substitute for transcription experience.

Mansioni

  • Assist the physician in navigating the EHR.
  • Respond to messages as directed by the physician.
  • Locate information for review (previous notes, reports, test results).
  • Enter information into the medical record as directed by the physician (click or type).
  • Research information as requested by the physician.
  • Record handwritten information using approved downtime procedures when necessary.
  • Assist the physician in ensuring all critical documentation is available and recorded for accurate coding.
  • Set up normals and templates for clinicians.
  • Train/assist new clinicians in efficient use of Dragon and Cerner.
  • Act as liaison with Desktop Support to troubleshoot issues.
  • Order tests, blood work, or other services for patient as directed by physician.
  • Other duties as assigned.
  • Assist clinicians in determining process flows.
  • Software support and training in PowerChart and other Cerner Software.

Conoscenze

Patient knowledge
Documentation accuracy
Communication

Formazione

High School Diploma or GED

Strumenti

Dragon
Cerner PowerChart

Descrizione del lavoro

Charleston Area Medical Center is seeking a medical scribe to capture accurate documentation of patient encounters in the EHR or handwritten records. Scribes do not make independent decisions in entering information.

The role involves navigating the EHR with physicians, responding to messages, and locating review materials such as prior notes and test results. Training will cover Dragon and Cerner systems to ensure smooth charting.

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