Night ED Medical Scribe — Fast-Paced Charting

ProScribe, LLC; Helena (MT); On-site; USD 15,000 - 22,000; Full time

Job summary

ProScribe, LLC seeks a medical records scribe to support healthcare providers by documenting and assembling chart data during patient visits. You will work with physicians to capture records in EMR and ensure accurate, timely updates across the chart.

This role requires ability to work full or part-time shifts, pass background checks and drug screening, and maintain HIPAA and Joint Commission standards in a fast-paced clinical setting.

Qualifications

• High school diploma or equivalent required.
• Must be 18+ years old and authorized to work in the US.
• Successful completion of a background check and drug screen.
• Ability to obtain proof of vaccinations as required by specific site.
• Typing speed 45+ WPM.
• Ability to fluently read, write, and understand English.
• Part-time available to work two shifts per week (16-24 hours per week) for a minimum of 6 consecutive months.
• Full-time available to work three shifts per week (32+ hours per week) for a minimum of 12 consecutive months.
• Ability to work shifts ranging from 8 to 12 hours.
• Ability to understand HIPAA regulations and appropriately maintain confidential patient and client information.

Responsibilities

• Preparing and assembling medical record documentation/charts to support healthcare providers.
• Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.
• Thoroughly updating all components of the patient's medical record at the direction of the physician.
• Updating all components of the patient's medical record including subjective and objective information, physical exam, and any other pertinent clinical information.
• Preparing and sending all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures.
• Collaborating with healthcare staff to efficiently monitor basic lab results and screening procedures.
• Monitoring duration of lab test and follow up as necessary.
• Ensuring accurate documentation in patient record.
• Supporting compliance with hospital and ProScribe policies.
• Understanding and maintaining HIPAA regulations.
• Understanding and maintaining Joint Commission standards.
• Understanding applicable policies for assigned site.
• Understanding ProScribe policies as related to specific role.
• Demonstrating professionalism through adherence to ProScribe’s attendance policies at assigned facility.
• Attendance responsibilities may vary based on provider preferences and EMR specifics.
• Performing other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.

Job description

ProScribe, LLC seeks a medical records scribe to support healthcare providers by documenting and assembling chart data during patient visits. You will work with physicians to capture records in EMR and ensure accurate, timely updates across the chart.

This role requires ability to work full or part-time shifts, pass background checks and drug screening, and maintain HIPAA and Joint Commission standards in a fast-paced clinical setting.