Medical Scribe - OSNC Oceanside - Full-Time - Day Shift

Sharp; Oceanside (CA); Hybrid; USD 3,031,000 - 3,857,000; Full time

Job summary

Tri-City Medical Center in Oceanside, CA is seeking a Medical Scribe to support physicians by documenting patient encounters, history-taking and exams, and ensuring accurate medical records.

The role requires a high school diploma, at least six months of scribe or clinical training, strong medical terminology and typing skills, familiarity with EMR/EHR, and the ability to work in a fast-paced environment while maintaining patient privacy.

Qualifications

• H.S. Diploma or Equivalent.
• Six months of Medical Scribe experience or related clinical training.

Responsibilities

• Facilitate patient flow and ensure an accurate medical record for each patient.
• Accompany provider during history-taking and exam, recording details into the chart.
• Record chief complaints, history of present illness, exams, and orders; ensure timely results.

Skills

Medical terminology

Typing 45 WPM

EMR/EHR proficiency

Strong writing

Education

HS Diploma or Equivalent

Tools

Windows applications

Job description

## Medical Scribe - OSNC Oceanside - Full-Time - Day ShiftApply: STCMC Tri-City Medical Center Main Campus - 4002 Vista Way: Full time: Posted Today: JR209119**Hours** **Shift Start Time:**8 AM**Shift End Time:**4:30 PM**AWS Hours Requirement:**8/40 - 8 Hour Shift**Additional Shift Information:****Weekend Requirements:**No Weekends**On-Call Required:**No**Flat Hourly Rate of Pay:**$25.000 **What You Will Do** The medical scribe works to facilitate patient flow and ensure an accurate and complete medical record for each patient. The Medical Scribe assists the medical provider by accompanying them during the medical history-taking and exam, recording details of both into the medical record. **Required Qualifications*** H.S. Diploma or Equivalent* Six months of Medical Scribe experience or related clinical training, required. **Preferred Qualifications*** Experience with Electronic Medical Records, preferred.* Certified Medical Assistant (CMA) - California Certifying Board for Medical Assistants -PREFERRED **Essential Functions** * The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. Maintains a safe, clean working environment, including unit based safety and infection control requirements. \\_\\_Administrative\\_\\_ Maintains a clean and organized work area. Maintains working knowledge of orthopedic medical terminology and accepted abbreviations. Understands and recognizes the physical exam process and has the ability to record exam details. Computer proficient and able to quickly learn new applications. Tracks patient care and improves patient flow. Demonstrates a professional demeanor and recognizes privacy considerations for patients and families. Displays flexibility in scheduling. Calmly copes with a high pressure environment. \\_\\_Clinical\\_\\_ Records details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies. Records details of physician exam, including pertinent positives and negatives, noted abnormalities and patient general condition. Submits orders as desired by medical provider and checks constantly for results of those orders. **Knowledge, Skills, and Abilities*** Strong medical terminology, required.* Strong writing skills, required.* Computer proficiency with Windows applications, required.* Ability to type a minimum of 45 WPM, required.* Ability to work under stress with interruptions and deadlines.* Ability to process verbal information and proceed accordingly.* Ability to follow complex instructions.* Ability to use basic math skills needed to write prescriptions and draw injections.* Ability to think logically and critically and come to a conclusion.* Ability to enter and retrieve data from a computer.* Ability to use the phone system, copier, fax and printers.* Ability to navigate the EHR system.* Ability to communicate with a high level of medical knowledge to patients, staff, management, Physicians and others.* Demonstrates a high level of medical knowledge in regards to patient care, office procedures, patient evaluation, medical terminology, OSHA regulations, etc.* Knowledge of CPT, ICD-9/ICD-10, and HCPCS coding.* Demonstrated awareness of the patient as an individual, with specific physical, psychological and spiritual needs.* Obeys and adheres to all policies and procedures outlined in the handbook