Medical Scribe - Orthopedics Per Diem

Beth Israel Deaconess Medical Center, Inc.; United States; On-site; USD 26,000 - 29,000; Full time

Job summary

Beth Israel Deaconess Medical Center, Inc. is seeking an assistant to support clinicians in an outpatient setting. You will transcribe history and physical exams, document encounters, and help manage patient throughput under physician supervision.

The role involves entering orders in the EMR, queuing prescription renewals, and ensuring accurate documentation of diagnostic and treatment information. Strong typing and medical terminology skills are essential.

Qualifications

• High School diploma or GED required.
• Bachelor's degree preferred.
• 0–1 years related work experience required.
• Experience with Medical Terminology.
• Experience with computer systems including web-based applications and Microsoft Office (Outlook, Word, Excel, PowerPoint or Access).

Responsibilities

• Accompany Physician into the patient examination room to transcribe history and physical, and document the encounter accurately.
• List all diagnoses, symptoms, follow-up instructions and prescriptions as dictated.
• Use EMR to queue prescription renewals for review by a licensed provider.
• Enter/scribe orders for tests, services or appointments in EMR as directed.
• Transcribe patient orders including labs, imaging, medications, etc.
• Document any procedures performed by the Physician.

Skills

Medical Terminology

Record Documentation

Education

High School diploma or GED

Bachelor's degree preferred

Tools

OMR EMR System

MS Office

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Summary: Performs a wide variety of clinical and administrative activities during patient visits in an outpatient clinical setting. Involves extensive interaction with diverse populations including patients, medical staff practitioners and medical center personnel. Assists provider with documentation and coding as well as patient throughput.

Job Description

• Accompanies Physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the Physician's encounter with the patient and others present.
• Lists all proper diagnoses and symptoms, as well as follow up instructions and prescriptions as dictated by the Physician.
• Uses the electronic medical record system (OMR) to queue prescription renewals for review by a licensed provider.
• As directed by a clinician, enters/scribes orders for tests, services or appointments in OMR.
• Transcribes patient orders including laboratory tests, radiology tests, medications, etc.
• Documents any procedures performed by the Physician.

Required Qualifications

• High School diploma or GED required.
• Bachelor's degree preferred.
• 0-1 years related work experience required.
• Experience with Medical Terminology.
• Recognition of physical exam process and ability to record exam details.
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Competencies

• Decision Making: Ability to make decisions that are based on specific instructions, standard practices and established procedures which generally require little or no supervision.
• Problem Solving: Ability to address problems that are routine, somewhat repetitive and generally solved by following clear directions and procedures and by identifying opportunities for process improvements.
• Independence of Action: Ability to follow general instructions and procedures as provided. Work is monitored by supervisor/manager.
• Written Communications: Ability to read, and write in English in order to understand basic safety instructions and take direction from supervisors; communicate effectively with patients, families and other medical center staff; and respond to basic questions.
• Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
• Knowledge: Ability to demonstrate basic knowledge of fundamental concepts, practices and procedures with the ability to use them in routine situations. Specialized knowledge not required.
• Team Work: Ability to interact respectfully with other employees, professional staff and/or external contacts to offer ideas, identify issues, obtain information or deliver services.
• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job

Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.

Pay Range

Pay Range: $19.00 - $21.00 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.