Live Medical Scriber
We’re seeking a Medical Scriber who is ready to work with new technologies and help our
providers with saving time and money. The ideal candidate has experience using the EHR
to scribe visitation notes into the patient’s chart while understanding the difference
nuances between multiple providers in real time.
Objectives of this role
Responsibilities
- Reviews Physician dictation and transcribes to clinical notes in EMR / Billing
systems
Prepares and assembles medical record documentation / charts for physician(s).Ensures medical record compliance by self-documentation attestation.Updates patient history, physical exam, and other pertinent health information inthe patient
Prepares and sends all documentation to physicians for review and approval viaauthentication of detailed data entry and facility-specific procedures.
Monitors the duration of basic lab results and screening procedures.Complies with hospital and medical facility policies, including those relating toHIPAA and Joint Commission.
Performs other clerical duties and tasks to improve provider productivity andclinic workflow as assigned.
Assign codes to diagnoses and procedures, using ICD (InternationalClassification of Diseases) and CPT (Current Procedural Terminology) codes
Ensure codes are accurate and sequenced correctly in accordance withgovernment and insurance regulations
Follow up with the provider on any documentation that is insufficient or unclearCommunicate with other clinical staff regarding documentationSearch for information in cases where the coding is complex or unusualReceive and review patient charts and documents for accuracyReview the previous day's batch of patient notes for evaluation and codingEnsure that all codes are current and activeRequired skills and qualifications
3-5 years of experience as a Live Medical ScriberAdministrative writing skillsReporting skillsOrganizational skillsRecord-keepingMicrosoft Office skillsProfessionalism, confidentiality, and organizationTypingSolid oral and written communication skillsEducation, Experience, and Licensing Requirements :Medical coding or successful completion of a certification programBachelor’s degree with pre-health career track preferredStrong knowledge of anatomy, physiology and medical terminologyFamiliarity with ICD-X codes and CPT ProceduresSkilled in operating various medical record software and hardware, word-processing, and database software programs