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Medical Scribe - Full Time - Orthopaedics

Middleburg Heights, OH

Works to facilitate patient flow and ensure an accurate and complete medical record for each patient.

 

 

Duties and Responsibilities:

  • Complies with HIPAA and OSHA rules and regulations.
  • Accompany physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician’s encounter with the patient and others present.
  • List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
  • Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
  • Document any procedures performed by the physician.
  • Maintain professional appearance and conduct at all times.
  • Adhere to employer work practices.
  • Establish and maintain effective working relationships with physicians, staff and managements.
  • Effectively cope with typical job stress.
  • Document work processes as required.
  • Perform other duties as assigned.

Knowledge and Skills Required:

  • Medical terminology.
  • Recognition of physical exam process and ability to record exam details.
  • Computer proficiency and ability to quickly learn new applications.
  • Organizational skills with focus on tracking patient care and improving patient flow.
  • Professional demeanor and recognition of privacy considerations for patients and families.
  • Ability to multitask.
  • Ability to communicate effectively.

Education and Work Experience:

  • High School Diploma

Clinical certification required:

  • Certified or Registered Medical Assistant (CMA / RMA) or Licensed Practical Nurse (LPN).

Environmental/Working Conditions:

  • Combination of office and exam offices. Frequent exposure to communicable diseases, bodily fluids, toxic substances, medicinal preparations. Hepatitis B vaccination and TB test required.

Physical/Mental Demands:

  • Varied activities including sitting, walking, stooping, lifting, bending, reaching. Occasional stress from workload. Must be able to use a variety of office equipment including phone, writing instruments, PC, fax and medical equipment including stethoscope, eye washing equipment, blood pressure cuff.

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

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