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

Sharp HealthCare; Oceanside (CA); On-site; USD 29,000 - 40,000; Full time

Job summary

Sharp HealthCare in Oceanside, CA is seeking a Medical Scribe to support clinicians by taking medical histories and documenting exams, ensuring accurate and complete records for every patient. In this role you will assist with patient flow, record chief complaints, medications, allergies, and exam findings, and work with the EHR system to submit orders and track results.

The position requires strong medical terminology, clear writing, a minimum typing speed of 45 WPM, and the ability to work

Qualifications

• H.S. Diploma or Equivalent is required.
• Six months of Medical Scribe experience or related clinical training is required.
• Experience with Electronic Medical Records is preferred.

Responsibilities

• Facilitate patient flow and ensure accurate medical records for each patient.
• Accompany the medical provider during history-taking and exam, recording details into the medical record.

Skills

Medical terminology

Writing skills

Windows proficiency

Typing 45 WPM

Stress management

Attention to detail

Data entry

EHR navigation

Medical knowledge

Medical coding knowledge

Education

H.S. Diploma or Equivalent

Six months Medical Scribe experience

Tools

Electronic Medical Records (EMR)

Job description

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

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

H.S. Diploma or Equivalent; Certified Medical Assistant (CMA) - California Certifying Board for Medical Assistants