Medical Scribe: Precise Charting & Care Team Collaboration

Rancho Health MSO, Inc; Fallbrook (CA); On-site; USD 32,000 - 34,000; Full time

Job summary

Rancho Health MSO, Inc. is seeking a Scribe in Fallbrook, CA to serve as a personal data assistant to the Provider, transcribing visits with accuracy and detail.

You will collaborate with the care team, review patient charts, enter information into the EMR, and help ensure high-quality, patient-centered documentation. Must have high school diploma; bilingual Spanish preferred; 40 hours/week.

Qualifications

• High school diploma or equivalent (GED).
• Bachelor’s degree preferred but not required.
• Successful completion of ascribe training or medical assisting program preferred.

Responsibilities

• Maintains records and assists with clinical paperwork (i.e., refills, orders, forms, referrals, etc ).
• Helps clean and maintain workstation and exam rooms.
• Places orders and completes inbox items at the direction of the healthcare provider.
• Work cooperatively with others, including appropriate communication with patients, providers, support staff, and administration.
• Review and prepare patient charts prior to visit with Provider including review and preparation of the patient’s chronic medical conditions and care quality measures.
• Research existing chart documentation, legacy EHR, and outside medical records to discover and validate Risk Adjusted Diagnosis (HCC Codes) and build documentation in the patient's problem list and current encounter.
• Observe and record Patient encounters/examinations by accompanying the Provider into the exam room or via virtual connection.
• Transcribe Patient visits with accuracy and detailed information.
• Transcribe the Patient history, physical exam findings, consultations, labs, x-rays, and other evaluations, as stated by the Provider.
• Document any procedures, medications, injections, and tests that are either ordered or completed by the Provider.
• Prepare care plans and patient facing instructions as directed by the Provider, communicate/collaborate with the care-team to assure that all elements of the care plan are addressed and completed.
• Communicate with the care team including Medical Assistants, Referrals Coordinator, Case Management, and scheduling team on any follow up, procedures or orders that may be needed.
• Maintain up-to-date information for the Provider(s) during every visit, if necessary.
• Prepare for and provide patient education documents, as needed. These may be from the EHR library or could be company specific.
• Other duties as assigned.

Skills

Bilingual Spanish

Medical terminology

Typing 65 WPM

Effective communication

Team player

HCC coding knowledge

EMR navigation

Self-motivated

Medicare knowledge

Education

High school diploma or equivalent

Bachelor’s degree preferred

Tools

EMR systems

Job description

Rancho Health MSO, Inc. is seeking a Scribe in Fallbrook, CA to serve as a personal data assistant to the Provider, transcribing visits with accuracy and detail.

You will collaborate with the care team, review patient charts, enter information into the EMR, and help ensure high-quality, patient-centered documentation. Must have high school diploma; bilingual Spanish preferred; 40 hours/week.