On-Site Medical Scribe | Emergency Department | Helena, MT
ProScribe · Helena, Montana, US
Description The scribe performs medical record documentation and clerical duties to increase provider effectiveness, efficiency, and productivity for improve...
Job description
Description The scribe performs medical record documentation and clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily with or without accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Essential duties include: - Preparing and assembling medical record documentation/charts to support healthcare providers - Entering the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications - Thoroughly updating all components of the patient's medical record at the direction of the physician - 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 - Collabora...