Medical Scribe - Cardiology/EP job description. Responsible for preparing and assembling medical record documentation/chart for physician prior to patient visit. Enters patient room with physician/clinician during patient visit to capture and transcribe medical record documentation in real time. Assists in data entry from devices or other sources. Completes medical records for each encounter ensuring accurate and timely documentation.
Requirements
- In accordance with policy, prepares and assembles medical record documentation/chart for physician prior to patient visit.
- Enters the patient room with the physician/clinician during patient visit to capture and transcribe medical record documentation in real time using electronic medical record applications.
- Prepares (pends) orders including follow-up testing, lab orders, medication orders, consults and/or referrals and the associated diagnosis to be connected with those orders.
- Documents the correct follow-up instructions and level of service designation based on the physician/clinician's direction.
- Assists in data entry from devices or other sources.
- Completes medical records for each encounter ensuring accurate and timely documentation.
- Updates patient history and other pertinent health information in the patient record.
- Prepares and sends all documentation for review and approval.
- May perform clinical functions such as prepare and room patient for exam, obtain vital signs and document/update pertinent health information, assist the physician/clinician with non-sterile procedures, schedule appointments and referrals to other facilities or services, and perform other data entry into the EHR.
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
