Provider Transcriber
Loma Linda University Health · Loma Linda, California, US
Department: UHC: Ophthalmology Job Summary: The Provider Transcriber performs transcription functions by shadowing a Provider and taking real-time notes in t...
Job description
Department: UHC: Ophthalmology Job Summary: The Provider Transcriber performs transcription functions by shadowing a Provider and taking real-time notes in the electronic medical record during face-to-face encounters with patients. He or she records the history of present illness, past medical history, past surgical history, family history, social history, review of systems, positive findings from the physical exam, the Provider's impression/assessment and plan/orders, and is accountable for the accurate transcription of medical reports, history & physical, relevant orders, patient instructions, etc. He or she will accurately and thoroughly document in the patient's medical record only information that is verbalized (i.e. word for word) or inferred by the Physician and/or independent licensed practitioners for whom he or she is transcribing. The Provider Transcriber will also assist with the preparation of school/work notes and/or letters to Referring Providers. Performs other duties as needed. Education and Experience: High School Diploma or GED required. Completed course work in medical terminology, stenographer, secretarial or transcription is preferred. No experience required,...