WVUH-Scribe-86964

WVU Medicine; Crest (CA); On-site; USD 36,000 - 48,000; Full time

Job summary

WVUH West Virginia University Hospitals is seeking a Medical Scribe to support physicians in Morgantown, WV. The role involves documenting history, exam findings, and procedures for patient charts, while accompanying physicians during examinations to ensure accurate transcription.

Responsibilities include collecting lab results, coordinating data from tests, and ensuring proper chart updates for treatment decisions.

Qualifications

• High School Diploma or equivalent is required.
• Background check for state and federal levels as applicable.
• Familiarity with medical terminology and abbreviations is essential.

Responsibilities

• Scribe the patient history, physical, and related data into the chart for physician review.
• Accompany physician in examination area to transcribe history and exam details.
• Document procedures performed by physicians or nurses in the medical chart.
• Transcribe consultations with family or patient’s primary/on‑call physician.
• Gather and review lab tests, radiology results, and other records for physician review.
• Monitor data to ensure complete workups for treatment decisions by the physician.
• Do not transmit verbal orders; orders are issued by the physician to other providers.
• May handle calls for the physician but must not capture medical data over the phone.
• Do not provide medical advice or discuss care plans directly with patients or families.
• Communicate waits and delays as directed by the RN or physician.
• Print physician processes as directed.

Skills

Medical terminology

Computer skills

Communication skills

Organizational skills

Professional demeanor

Typing speed

Education

High School Diploma

Background check clearance

Job description

Minimum Qualifications:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

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

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• 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:

WORKING ENVIRONMENT:

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:

Must be available to work clinic hours 8A to approximately 5P Monday- Friday.

SCHEDULED WEEKLY HOURS:

36

EXEMPT/NON-EXEMPT:

United States of America (Non-Exempt)

COMPANY:

WVUH West Virginia University Hospitals

COST CENTER:

8815 UHA Scribes

ADDRESS:

1240 Suncrest Towne Centre
Morgantown
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.