Per Diem Medical Scribe

Kaweah Delta Health Care District; Visalia (CA); On-site; USD 28,000 - 41,000; Full time

Job summary

Kaweah Health in Visalia, CA seeks a medical transcriptionist to document physician encounters in the electronic medical record, ensuring accurate and timely charting of patient histories, exams, diagnostics, and follow-ups in a fast-paced clinic or hospital setting.

The ideal candidate has a high school diploma or equivalent (pre-nursing or pre-med coursework preferred), experience in EMR transcription, medical terminology knowledge, and fast, accurate typing with strong interpersonal

Qualifications

• Education: High school diploma or equivalent.
• Education preferred: Some pre-nursing and/or pre-med courses.
• Experience preferred: Transcription in an electronic medical record system.
• Knowledge/Skills/Abilities: Medical terminology knowledge.
• Knowledge/Skills/Abilities: Quick and accurate typing.
• Knowledge/Skills/Abilities: Strong interpersonal and communication skills.

Responsibilities

• Accompanies physician into the patient examination room in order to accurately document the physician's encounter with the patient and others present.
• Responsible for accurate, timely charting of patient encounters, including but not limited to patient history, physical exams, diagnostic findings, lab and test results, consultations with other providers, treatment course, diagnoses, patient instructions, prescriptions and follow-up instructions.
• Reviews the primary diagnoses with provider to ensure that all documentation is accurate and clinically supported in the EMR.
• Per provider direction, enters proposed orders in the EMR that has accurate and complete diagnosis codes to support the order.
• Prior to patient encounter, facilitates the acquisition of test results for the provider to review.
• Continually checks the status of pending studies in order to increase department efficiency.
• Documents any procedures performed by the physician.
• Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
• Performs other duties as assigned.

Skills

Medical terminology

Typing speed

Interpersonal skills

Education

High school diploma or equivalent

Some pre-nursing and/or pre-med courses

Tools

EMR system

Job description

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community.

Benefits Eligible

Not Benefits Eligible

Work Shift Day - 8 Hour or less Shift (United States of America)

Department 7088 KH Cardiology Center - Visalia

Performs clerical and information technology functions for a physician in a clinic and/or hospital setting. Primary responsibility is the capture of accurate transcribed documentation in the electronic medical record system. Primary goal is to increase patient and department throughput.

QUALIFICATIONS

• Education Required: High school diploma or equivalent
• Education Preferred: Some pre-nursing and/or pre-med courses
• Experience Preferred: Transcription in an electronic medical record system
• Knowledge/Skills/Abilities: Medical terminology knowledge
• Knowledge/Skills/Abilities: Quick and accurate typing speed
• Knowledge/Skills/Abilities: Strong interpersonal and communication skills

JOB RESPONSIBILITIES

• Accompanies physician into the patient examination room in order to accurately document the physician's encounter with the patient and others present.
• Responsible for accurate, timely charting of patient encounters, including but not limited to patient history, physical exams, diagnostic findings, lab and test results, consultations with other providers, treatment course, diagnoses, patient instructions, prescriptions and follow-up instructions.
• Reviews the primary diagnoses with provider to ensure that all documentation is accurate and clinically supported in the EMR.
• Per provider direction, enters proposed orders in the EMR that has accurate and complete diagnosis codes to support the order.
• Prior to patient encounter, facilitates the acquisition of test results for the provider to review.
• Continually checks the status of pending studies in order to increase department efficiency.
• Documents any procedures performed by the physician.
• Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
• Performs other duties as assigned.

Pay Range

$20.00 -$30.00