Medical Scribe

aah; Rome (GA); On-site; USD 30,100 - 45,185; Part time

Benefits offered by this job

Paid Time Off

Health and welfare benefits

Educational Assistance Program

Job summary

aah in Rome, Georgia is looking for a part-time Medical Scribe. The role involves preparing medical documentation, assisting physicians during patient visits, and ensuring accurate record keeping.

Applicants should have a high school diploma and ideally at least one year of relevant experience. The position requires strong communication skills and proficiency in computer systems. Benefits include health and welfare programs, paid time off, and opportunities for professional development.

Qualifications

• 1 year of experience in medical assisting or similar roles.
• Completion of authorized medical scribe training course may be required.
• Ability to maintain confidentiality and build patient rapport.

Responsibilities

• Prepare and assemble medical record documentation for physician visits.
• Document patient visits in real time using electronic medical records.
• Update patient history and submit documentation for review.

Skills

Medical terminology

Excellent communication skills

Computer skills

Multi-tasking abilities

Education

High School Graduate

Tools

Electronic medical records systems

Job description

Department

02408 HC Rome MOB 1825 Martha Berry Blvd - Surgery: Orthopedics

Status

Part time

Benefits Eligible

Yes

Hours Per Week

20

Schedule Details/Additional Information

Days M-F 8-5

Pay Range

$21.85 - $32.80

Major Responsibilities

• In accordance with policy, prepares and assembles medical record documentation/chart for physician prior to patient visit. Anticipates physician needs for patient visits by obtaining internal and external previous medical records and test results. Ensures that all elements of documentation are complete and accurate.
• Enters the patient room with the physician/clinician during patient visit to capture and transcribe medical record documentation in real time using electronic medical record applications. Documents the physician/clinician's communication with the patient using appropriate medical terms and phrasing.
• Prepares (pends) orders including follow-up testing, lab orders, medication orders, consults and/or referrals and the associated diagnosis to be connected with those orders. Documents the correct follow-up instructions and level of service designation based on the physician/clinician's direction. Assists in data entry from devices or other sources.
• Completes medical records for each encounter ensuring accurate and timely documentation. Under physician/clinician direction, updates patient history and other pertinent health information in the patient record. Prepares and sends all documentation for review and approval.
• With proven competency, may perform clinical functions such as prepare and room patient for exam, obtain vital signs and document/update pertinent health information, assist the physician/clinician with non-sterile procedures, schedule appointments and referrals to other facilities or services, and perform other data entry into the EHR.

Licensure, Registration, and/or Certification Required

• None Required.

Education Required

• High School Graduate.

Experience Required

• Typically requires 1 year of experience in medical assisting, medical transcription, emergency medical services, patient service and/or as a health care professional with demonstrated proficiency in medical terminology and technical spelling.

Knowledge, Skills & Abilities Required

• May need successful completion of authorized medical scribe training course within 30 days of hire.
• Knowledge of medical terminology, including basic human anatomy and coding. Demonstrates familiarity with medication names and medical procedures.
• Knowledge of essential elements of documenting a provider-patient encounter, HIPAA compliance, and Centers for Medicare and Medicaid Services requirements.
• Excellent communication and interpersonal skills. Ability to maintain sensitivity and confidentiality for the patient while assisting physician. Ability to develop rapport and maintain positive, professional relationships.
• Requires adherence to all policies and procedures, including but not limited to standards for safety, patient service, attendance, punctuality, and personal appearance.
• Proficient computer skills including: advanced keyboarding, above average typing speed, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems.
• Ability to effectively multi-task, with excellent prioritization and organization skills.
• Must have a high attention to detail and accuracy when documenting health information.
• Ability to work effectively in a fast paced and stressful environment.
• Must have ability to travel to various work locations.

Physical Requirements and Working Conditions

• Exposed to a normal medical office environment.
• Position requires travel; therefore may be exposed to severe weather or road conditions.
• Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills.
• May need to occasionally lift/carry up to 20 lbs.
• May be exposed to the following hazards: mechanical, electrical, chemical, blood and body fluids; therefore must wear protective clothing and equipment as needed.
• Operates all equipment necessary to perform the job.

Job Description Disclaimer

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note

Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.