Clinical Scribe - Behavioral Health Documentation

Talentify; Tucson (AZ); On-site; USD 25,000 - 30,000; Full time

Job summary

Sonora is seeking a motivated administrative professional to support a facility physician with accurate and HIPAA-compliant dictation and documentation. You will accompany the physician during patient examinations, document histories, exams, lab results, diagnoses, and plans, and ensure all orders are communicated appropriately.

This role emphasizes confidentiality and teamwork in a behavioral health setting.

Qualifications

• One or more years of administrative/scribe experience required.
• Knowledge of administrative and clerical procedures and systems.

Responsibilities

• Accompany the physician during examination of the patient.
• Accurately document the physician dictated patient history, history of present illness, pertinent findings, mental status examination, medications and allergies.
• Accurately document the results of laboratory and radiographic studies as dictated by the physician.
• Uses the team approach to patient care and documentation.
• Maintains confidentiality and privacy in accordance with HIPAA regulations.

Skills

Administrative experience

Documentation

Education

High school diploma or equivalent

Job description

Sonora is seeking a motivated administrative professional to support a facility physician with accurate and HIPAA-compliant dictation and documentation. You will accompany the physician during patient examinations, document histories, exams, lab results, diagnoses, and plans, and ensure all orders are communicated appropriately.

This role emphasizes confidentiality and teamwork in a behavioral health setting.