Medical Scribe- ENTRY LEVEL- San Antonio, TX

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Job description

Summary:
Reporting to Client Service Management, the Medical Scribe ensures accurate and timely documentation of the
medical chart under the supervision of the medical provider. The Scribe assists the provider by accompanying
them during the patient exam recording detailed information into the electronic medical record (EMR). The
Scribe performs other related medical record or clerical duties to increase provider effectiveness, efficiency, and
productivity for improved patient flow and satisfaction.
Essential Duties and Responsibilities:

• Preparing and assembling medical record documentation/charts for physician(s)
• Entering the patient room with the physician during patient visit to capture and transcribe medical record

documentation utilizing electronic medical record applications

• Ensuring medical record compliance by self-documentation attestation to include: Scribe name, title

and doctor working for as well as specific date and time entry

• At the direction of the physician, updates all components of the patient's medical record including

subjective and objective information, physical exam and any other pertinent clinical information

• Preparing and sending all documentation to physician for review and approval via authentication of

detailed data entry and facility-specific procedures

• Monitoring the duration of basic lab results and screening procedures
• Compliance with hospital and ProScribe policies, including those relating to HIPAA and Joint

Commission

• Regular and reliable attendance at assigned facility required
• Perform other clerical duties and tasks to improve provider productivity and clinic workflow as

assigned
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience:

• High school diploma required. College sophomore status or higher preferred. Pre-health career track

preferred.

• Ability to demonstrate knowledge of medical terminology and human anatomy strongly preferred

Technical/Computer Skills: Skilled in operating various medical record software and hardware, word-processing, and database software programs; minimum of 60 WPM preferred.
Core Competencies:

• Ability to learn and appropriately apply basic medical terminologies and techniques taught and

used on the job.

• Strong written and verbal communication skills.
• Ability to observe and to draft a narrative account of events accurately and cogently, in

grammatically-correct English.

• Ability to spell proofread and edit written text.
• Keyboard proficiency (approximately 60 words/minute).
• Ability to operate a personal computer and related software applications.
• Strong attention to detail.
• Ability to work in a dynamic, highly-stressful environment that routinely involves exposure to

highly-sensitive personal medical issues.

• Ability to multitask, coordinate multiple projects and patients.
• Ability to problem solve under pressure.
• Ability to communicate and interact professionally with others.
• Understanding of and commitment to appropriate protection of confidential patient information.

Physical Demands:
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.

• Ability to stand with mobility for extended periods of time
• Ability to lift, hold, push, and pull 20 pounds
• Ability to view computer monitors with close vision, color vision, depth perception and ability to adjust

your focus with good hand-eye coordination.

• Ability to work in a stressful and fast-paced environment
• Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor

for extended periods

• Position may require work at more than one location during a scheduled work week.

Job Types: Full-time, Part-time

Pay: $9.00 - $11.00 per hour

Schedule:

• 10 hour shift
• 12 hour shift
• 8 hour shift
• Day shift
• Holidays
• Monday to Friday
• Weekend availability

Experience:

• Typing: 1 year (Preferred)
• Medical terminology: 1 year (Preferred)
• Anatomy knowledge: 1 year (Preferred)

Work Location: Multiple Locations