Pediatrics Medical Scribe — Real-Time EMR Transcription

Tribe513; South Carolina; Hybrid; USD 32,000 - 40,000; Full time

Job summary

Parkside Pediatrics in Boiling Springs is seeking a Medical Scribe to work with physicians, transcribing patient information in real time into the EMR during clinical visits. The role involves documenting history, exam findings, procedures, labs, and radiology impressions, while maintaining confidentiality and HIPAA compliance.

Candidates should have a High School Diploma, a Medical Scribe Certification preferred but not required, and the ability to handle multiple tasks, adapt to busy

Qualifications

• Document patient history, exams, procedures, labs accurately as dictated by provider.
• Demonstrate strong knowledge of medical terminology and documentation guidelines.
• Adhere to HIPAA and confidentiality requirements in all tasks.

Responsibilities

• Accompanies one assigned provider per shift during clinical visits.
• Accurately documents dictated patient history, physical examination, family, social and past medical history, procedures, labs, radiographic impressions.
• Provides over the top customer service to all patients.
• Communicates with clinical staff, providers, patients, and families to ensure continuity of care.
• Maintains and demonstrates an understanding of a team approach to patient care.
• Demonstrates the knowledge and skills necessary to document patient care as dictated by the provider in a legible and clear manner, following all local, state, and federal documentation guidelines.
• Maintains skills and knowledge base through reading, training, and other structured in-services.
• Attends team meetings as scheduled.
• Conducts self in accordance with Parkside Pediatrics Employee Handbook.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Completes annual compliance training provided by MUSC Health.

Skills

EMR documentation

Medical terminology

HIPAA compliance

Patient service

Communication

Teamwork

Education

High School Diploma

Medical Scribe Certification preferred, but not required

Job description

Job Title: Medical Scribe

Weekly Hours: Full-Time, Monday - Friday, 8:00AM - 5:00PM

Supervised by: Assigned Provider, Site Coordinator

Location: Boiling Springs office

Summary of Duties: Works directly with physicians to transcribe patient information during clinical visits in real time into Parkside Pediatrics’ electronic medical records (EMRs). May function as a liaison between patients, families, team members and providers.

Responsibilities:

• Accompanies one assigned provider per shift during clinical visits and examinations.
• Accurately documents provider’s dictated patient history, physical examination, family, social and past medical history as well as document procedures, lab results, radiographic impressions and any other information pertaining a patient’s encounter during a visit.
• Provides over the top customer service to all patients.
• Communicates with clinical, providers, patients, and families to ensure continuity of care.
• Maintains and demonstrates an understanding of a team approach to patient care.
• Demonstrates the knowledge and skills necessary to document patient care as dictated by the provider in a legible and clear manner, following all local, state, and federal documentation guidelines.
• Maintains skills and knowledge base through reading, training, and other structured in-services.
• Attends team meetings as scheduled.
• Conducts self in accordance with Parkside Pediatrics Employee Handbook.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Completes annual compliance training provided by MUSC Health.

Education:

• High School Diploma
• Medical Scribe Certification preferred, but not required.

Preferred Qualifications/Skills:

• Minimum of 4 shifts per week availability.
• Healthcare student- physician, nursing, physician assistant, healthcare administration, etc.
• Willing to make a 1–2-year commitment as a scribe at Parkside Pediatrics.
• One or more years’ experience in a medical setting.
• Efficient computer & technology skills.
• Desire to learn medical terminology, including abbreviations and correct spelling of the English language.
• Ability to work with non-cooperative patients, patients with psychosocial problems and needs, or chronic and acute health problems.
• Ability to adapt to various work assignments.

Environmental/Working Conditions: Ability to work in an environment with exposure to potentially dangerous/infectious materials and situations that require following extensive safety may be required and/or hours may be shortened as business needs dictate.

Physical Demands: Ability to perform moderate physical activity. May require handling/lifting objects (up to 50 pounds) or standing/sitting/walking for more than four (4) hours per day.

Tribe513 is an Equal Opportunity Employer.