Medical Scribe Duties
Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
- Patient medical history and physical exam.
- Procedures and treatments performed by healthcare professionals, including nurses and Physicians Assistants.
- Patient education and explanation of risks and benefits.
- Physician dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up.
- Entry of orders and appointment “ticklers” at physician directive.
- Prepare any other documents as requested by physician.
- Dictation/faxing/phone calls and clerical tasks.
- Identify and resolve mistakes or inconsistencies in medical documentation.
- Proofread and edit all physicians’ medical documents for accuracy, spelling, punctuation, and grammar.
- Collect, organize and catalog data for physician quality.
- Attend trainings on subjects such as information technology, legal documentation requirements, HIPAA and regulatory compliance, billing and coding.
Behaviors & Abilities Required
- Language skills- The ability to write routine reports and correspondence.
- Understanding of Medical Terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments.
- Strong Keyboarding
- Reasoning Ability
- Strong Computer Skills
Required Qualifications
- High school diploma or GED certificate
- Must be proficient in typing and good at spelling, punctuation, grammar and oral communications.
- Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion.
- Excellent English Composition skills required to generate professional, polished writing at a high rate of production.
- Ability to prepare and interpret charts and graphs.
- Ability to compute ratio and percent.
- Ability to apply common sense understanding and carry out instructions furnished in written, oral, or diagram form.
- Ability to apply logic and draw conclusions based on knowledge.
- Ability to refer to reference materials to problem solve.
- Ability to learn and use all functions of electronic medical records and transcription software.
- Accurate data entry.
Please email a note of interest and your resume to This email address is being protected from spambots. You need JavaScript enabled to view it.