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

150 Sharp Tri-City Medical Center; Oceanside (CA); On-site; USD 29,000 - 40,000; Full time

Job summary

Sharp HealthCare seeks a Medical Scribe to support physicians by documenting history, exam details, and orders, while ensuring accurate medical records and smooth patient flow.

Ideal candidates have a strong medical terminology background, fast typing, and experience with EMR systems. The role emphasizes accuracy, privacy, and professionalism in a high-pressure clinical setting.

Qualifications

• H.S. Diploma or Equivalent.
• Six months of Medical Scribe experience or related clinical training, required.
• EMR experience preferred; CMA certification preferred.

Responsibilities

• Facilitate patient flow and maintain accurate medical records.
• Assist provider during history-taking and exam and record details.
• Submit orders as directed and monitor results.

Skills

Medical terminology

Writing skills

Windows proficiency

Typing 45 WPM

Stress management

Data entry

Education

High school diploma or equivalent

Medical scribe experience or related clinical training

Tools

EMR system

Windows applications

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.

Administrative

• Maintains a safe, clean working environment, including unit based safety and infection control requirements.
• 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 Sharp HealthCare is a not-for-profit health care system based in San Diego, California, with four acute care hospitals, three specialty hospitals, three medical groups and a health plan. We provide medical services in virtually all fields of medicine, including primary care, heart care, cancer, orthopedics, women's health, rehabilitation, robotic surgery and bariatric surgery. Sharp sets the community standard for exceptional care. Sharp Grossmont Hospital and Sharp Memorial Hospital have received prestigious Magnet recognition by the American Nurses Credentialing Center for excellence in nursing practices and quality patient care. At the heart of our organization are more than 18,000 affiliated physicians, nurses, staff and volunteers who are on a journey to make health care better for our patients and their families. It's what we call The Sharp Experience - treating each person with dignity, compassion and respect, and using our clinical excellence and advanced technology to deliver the highest-quality patient care. We are dedicated to transforming the health care experience by making Sharp the best place to work, the best place to practice medicine and the best place to receive care in San Diego.