Clinical Scribe (Ophthalmology)
Pinehurst Surgical Clinic
Swan Station, NC
Full-time
Administration / Clerical
Posted on June 2, 2023
SUMMARY:
Responsible for recording a provider's interactions with patients and assisting with clerical duties related to medical documentation. Their duties include filling out paperwork, summaries, and referral letters after a visit and entering data into medical records
POSITION REQUIREMENTS:
Requirements
PERSONAL CHARACTERISTICS:
PREFERRED QUALIFICATIONS:
Responsible for recording a provider's interactions with patients and assisting with clerical duties related to medical documentation. Their duties include filling out paperwork, summaries, and referral letters after a visit and entering data into medical records
POSITION REQUIREMENTS:
- Prepares and assembles medical record documentation/charts for provider(s)
- Enters the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications
- Ensures medical record compliance by self-documentation attestation
- Updates patient history, physical exam, and other pertinent health information in the patient
- Prepares and sends all documentation to physician for review and approval via authentication of detailed data entry and Pinehurst Surgical Clinic-specific procedures
- Monitors the duration of basic lab results and screening procedures
- Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned
- Other duties as assigned
Requirements
PERSONAL CHARACTERISTICS:
- Reporting skills
- Maintains confidentiality
- Good bedside manner
- Strong organization
- Computer skills
PREFERRED QUALIFICATIONS:
- High school diploma or equivalent
- Six months of scribe experience preferred
- Administrative writing skills
- Knowledge of medical terminology and human anatomy
- Skilled in operating various medical record software and hardware, word-processing, and database software programs
- Legible handwriting and ability to accurately record information
- Ability to work in a fast-paced environment