Scribe

WVU Medicine; Wheeling, Northern (WV, KY); On-site; USD 18,000 - 28,000; Full time

Job summary

WVU Health System is seeking a Medical Scribe to support physicians by documenting histories, exams, and procedures in real time. You will accompany clinicians during patient visits and ensure accurate charting of notes and data.

The role requires strong medical terminology knowledge, fast typing and excellent communication to coordinate with the health care team. Shift patterns may include evenings and weekends to cover patient care needs.

Qualifications

• High school diploma or equivalent required.
• Experience with medical terminology is preferred.

Responsibilities

• Record patient history, medications, allergies and other chart elements for physician approval.
• Accompany the physician in examinations to transcribe history and physical information.
• Document procedures performed by physicians or nurses in the medical chart.
• Transcribe consultations and discussions with family or other physicians.
• Gather laboratory and radiology results for physician review.
• Monitor data progress to support complete patient workups.

Skills

Medical terminology

Computer proficiency

Communication skills

Organizational skills

Privacy/compliance

Typing speed 50 wpm

Education

High School diploma or equivalent

Job description

Welcome! We’re excited you’re considering an opportunity with us! Below, you’ll find other important information about this position.

MINIMUM QUALIFICATIONS

1. High School Diploma or equivalent.
2. State criminal background check and Federal (if applicable), as required for regulated areas.

CORE DUTIES AND RESPONSIBILITIES

1. For history of present illness, past medical history, review of systems, medications, social history, family history, allergies or other elements of the patient chart: The physician or licensed independent practitioner will elicit the information as usual and Scribes will record the information in the chart for approval.
2. The Scribe may accompany the physician or licensed independent practitioner in the patient examination area in order to transcribe a history and physical examination as given by the patient and physician or licensed independent practitioner.
3. The Scribe documents in the medical chart any procedures performed by the physician or licensed independent practitioner, or nurses.
4. The Scribe transcribes any consultations or discussions with family and/or the patient’s private physician or the on-call physician.
5. Scribes may gather laboratory results, radiology results, medical records and other data for review by the physician or licensed independent practitioner. Data should not be entered into the EMR, chart, or otherwise incorporated into the medical record until it has been reviewed and approved by the physician’s or licensed independent practitioner.
6. Scribes must continuously check on the progress of this data in order to get the patient’s workup complete so that the physician or licensed independent practitioner is able to make treatment decisions.
7. The Scribe may not provide verbal orders or relay verbal orders between the physician or licensed independent practitioner and other patient care providers. The physician or licensed independent practitioner must communicate orders directly to other care providers.
8. Scribes can make and answer calls for the physician or licensed independent practitioner, however Scribes may not take medical data over the phone.
9. Scribes may not give medical advice, communicate medical information or care plans of any kind directly with the patient or patient’s family or friends.
10. Scribes can communicate waits and delays as directed by the RN or physician or licensed independent practitioner.
11. Scribes may print the physician’s or licensed independent practitioner process at the physician or licensed independent practitioner’s direction.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES

1. Working knowledge of medical terminology and accepted abbreviations.
2. Computer proficiency and ability to quickly learn new applications.
3. Communication skills and the ability to coordinate and cooperate with multiple members of the health care team.
4. Organizational skills with focus on tracking patient care and improving patient flow.
5. Professional demeanor and recognition of privacy considerations for patients and families.
6. Typing speed of 50 wpm preferred.
7. Position is subject to core competencies and quality assurance monitoring.

ADDITIONAL JOB DESCRIPTION

Shift times will vary between 10a-2a. All applicants must be able to work their fair share of nights, weekends, and holidays. Scheduled Weekly Hours: 16 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 8815 UHA Scribes Address: 1 Medical Park Drive Wheeling West Virginia.

Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.