Real-Time EMR Medical Scribe

Innovative Healing Systems Inc; Tampa (FL); On-site; USD 32,000 - 48,000; Full time

Job summary

Innovative Healing Systems Inc. seeks a Medical Transcriptionist/ Scribe to support physicians by recording dictations into the EMR in real time under supervision.

You will accompany physicians into examination rooms, document encounters, transcribe orders and procedures, and ensure HIPAA compliance while maintaining patient safety and clinic workflow. Experience in medical terminology and transcription is required.

Qualifications

• At least 1 year of medical terminology.
• At least 1 year of medical scribe/medical transcription experience.
• Must complete and pass required medical screening, background check and drug test.

Responsibilities

• Accompany physician into the patient examination room to transcribe history, physical exam, assessment and plan.
• Document accurately the physician's encounter with the patient and others present.
• List all diagnoses and symptoms as well as follow up instructions and prescriptions dictated by the physician.
• Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
• Document any procedures and/or hyperbaric treatments performed by the physician.
• Review past medical histories, previous visit encounters, past results and studies.
• Understand basic ICD-10 documentation requirements.
• Comply with hospital and medical facility polices, including HIPAA and Joint Commission.
• Perform other clerical duties to improve provider productivity and clinic workflow.

Skills

Medical terminology

Transcription

Verbal communication

HIPAA compliance

Tools

EMR

Job description

Innovative Healing Systems Inc. seeks a Medical Transcriptionist/ Scribe to support physicians by recording dictations into the EMR in real time under supervision.

You will accompany physicians into examination rooms, document encounters, transcribe orders and procedures, and ensure HIPAA compliance while maintaining patient safety and clinic workflow. Experience in medical terminology and transcription is required.