Medical Scribe

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 20,664 - 30,307; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Medical Scribe to support clinicians by handling documentation and clerical duties, allowing clinicians to focus more on patient care.

This is an unlicensed, non-clinical role requiring travel to satellite offices (except Yuma). Key duties include navigating the EHR, transcribing patient histories and exams, documenting labs and procedures, and ensuring timely chart completion with practitioner sign-off.

Qualifications

• High school diploma or equivalent required.
• Completion of college level courses or current healthcare student preferred.
• Minimum of 2 years medical experience in a hospital setting or private practice preferred.
• Experience and understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
• Previous experience with or ability to translate medical abbreviations into their expanded forms.
• Experience in a surgical specialty preferred.

Responsibilities

• Assists the practitioner in navigating the EHR and may locate information for review as requested by the practitioner.
• Accompanies the practitioner upon patient interview and examination and they do not interject their own observations or impressions.
• Documents the practitioner dictated patient history, including history of present illness; review of systems; past medical and surgical history; family and social histories; and medications and allergies.
• Documents physical examination findings and procedures as performed by the practitioner.
• Documents the results of laboratory and radiographic studies as dictated by the practitioner.
• Documents the correct time of patient care related activities, including practitioner to practitioner communication, family communication and re-examination of the patient.
• Ensures the practitioner reviews all documentation completed by the Scribe when the patient encounter has concluded.
• Makes chart rounds with the practitioner to review patient status, delays and any other care-related issues.
• Ensures authentication takes place before the Practitioner and scribe leave the patient care area and that all orders for patient care are communicated by the practitioner.
• Performs miscellaneous job related duties as requested.

Skills

Multitasking & writing

Attention to detail

EMR systems

Punctuality

Timely communication

Education

High school diploma

Healthcare coursework

Tools

EMR software

Transcription software

Job description

The primary role of the Medical Scribe is to relieve the practitioner of clerical and secretarial duties; thus allowing the practitioner to focus more directly on clinical care. The scribe is an unlicensed individual and exclusively non-clinical. They do not examine patients and do not engage in any type of patient care. A scribe’s role is limited to documentation and efficiency management for the practitioner. Must be able to travel to our satellite offices (except Yuma).

Position Duties

• Assists the practitioner in navigating the Electronic Health Record (EHR) and may locate information for review as requested by the practitioner (i.e., previous notes, reports, test results, and laboratory results). Also, may research information requested by the practitioner.
  
• Accompanies the practitioner upon patient interview and examination and they do not interject their own observations or impressions.
  
• Documents the practitioner dictated patient history, including history of present illness; review of systems; past medical and surgical history; family and social histories; and medications and allergies.
  
• Documents physical examination findings and procedures as performed by the practitioner.
  
• Documents the results of laboratory and radiographic studies as dictated by the practitioner.
  
• Documents the correct time of patient care related activities, including practitioner to practitioner communication, family communication and re-examination of the patient.
  
• Ensures the practitioner reviews all documentation completed by the Scribe when the patient encounter has concluded. This includes making any necessary amendments and signing the chart. The practitioner is ultimately responsible for documentation of the patient’s encounter.
  
• Make “chart rounds” with the practitioner to review patient status, delays, and any other care-related issues.
  
• Ensures authentication takes place before the Practitioner and scribe leave the patient care area and that all orders for patient care are communicated by the practitioner.
  
• Performs miscellaneous job related duties as requested.
  

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

1. High school diploma or equivalent.
   Required Yes No
2. Completion of college level courses or current healthcare student i.e. mid-level provider, nursing, healthcare administration, etc.
   Preferred Yes No

Experience

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

1. Minimum of 2 years medical experience in a hospital setting or a private practice.
   Preferred Yes No
2. Experience and understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports.
   Required Yes No
3. Previous experience with or ability to translate medical abbreviations into their expanded forms.
   Required Yes No
4. Experience in a surgical specialty.
   Preferred Yes No

Special Skills

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

1. Ability to multi-task and consistently communicate in a professional manner including writing routine reports and correspondence; proficient in typing and good at spelling, punctuation, grammar, and oral communication. Ability to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills required to generate professional, polished writing at a high rate of production.
   Required Yes No
2. Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated. Must be discreet, tactful, and modest in performance of duties. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
   Required Yes No
3. Ability to learn and use all functions of electronic medical record software and transcription software. Maintain and demonstrate an understanding of the team approach to patient care and documentation.
   Required Yes No
4. Punctuality and preparedness for all shifts and work-related activities.
   Required Yes No
5. Ability to check and respond to all correspondence, including email, phone calls or text messages in a timely manner. Excellent and legible penmanship.
   Required Yes No

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally 2. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Constantly 3. Physical Requirement - Hearing - Constantly 4. Physical Requirement - Pushing/pulling - Frequently 5. Physical Requirement - Reaching - Occasionally 6. Physical Requirement - Sitting - Frequently 7. Physical Requirement - Standing - Frequently 8. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally 9. Physical Requirement - Talking - Occasionally 10. Physical Requirement - Walking - Frequently 11. Physical Requirement - Near Vision - Constantly 12. Physical Requirement - Far Vision - Occasionally 13. Physical Requirement - Color Discrimination - Occasionally 14. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly 15. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally 16. Occupational Exposure/Risk Potential - Inside office environment - Applicable 17. Occupational Exposure/Risk Potential - Airborne communicable diseases - Applicable 18. Occupational Exposure/Risk Potential - Bloodborne pathogens or bodily fluid - Applicable 19. Occupational Exposure/Risk Potential - Fumes or airborne particles - Applicable I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree