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Medical Scribe-------------------------------------------------------------------------------------------------------------------------------Department: ClinicalJob Status: Full TimeFLSA Status: Non-ExemptReports To: Clinic ManagerGrade/Level: Amount of Travel Required: Up to 15%Work Schedule:Positions Supervised: None8 a.m. to 5:30 p.m., Mon – Thurs 8 a.m. to 12:00 p.m. on Friday.However, additional hours may be required to complete duties, including Saturday clinic. POSITION SUMMARY:The Medical Scribe works as a part of the care team and is responsible for performing documentation of assessments, services rendered and pertinent patient information. Confidentiality and not interacting with the patient regarding their care and treatment is a primary requirement of this position. The Medical Scribe is involved in continuous Quality Improvement practices and measures as set by Mainline Health Systems, Inc. and in which the practice focus is based on a Patient Centered Medical Home model of care.Specific duties and responsibilities:Lives and works the mission of Mainline Health Systems: To provide the very best care for the patients we serve regardless of their ability to pay. Greets patients in a courteous and professional manner and document the interaction of the physician assessment, any details, orders, and directions. Do not discuss details of conditions or treatments with the patient.Ensures patient confidentiality and provides patients with only approved information.May enter the room with the physician during the patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.Prepares medical records and documentation for the physician.Assures medical record compliance and completion by self-documentation attestation.Updates patient history, physical exam, and other health information in the patient record.Prepares, reviews, and sends all documentation to the physician for review and approval via detailed data entry and facility specific proceduresPerforms other necessary duties required to meet the goal of providing primary health care.Participates in monthly clinical staff meeting and quality improvement practices.Participates in daily team huddles and communicates concerns or necessary information to the care team.Serve as part of the care team; following and implementing workflows that support and sustain MHSI Patient Centered Medical Home model of care.Willingness to attend and/or complete continuing education related to this position and/or any other topics as deemed necessary to pletion of continual job training processes set forth by Mainline Health Systems, Inc.Any other duties assigned by Clinic Manager, COO, or the CEO.Reporting Relationship:The Medical Scribe reports to, is supervised by, and evaluated by the Clinic Manager.Evaluation:The evaluation of work performance is ongoing, and will be performed by the Clinic Manager, a member of the Clinic Staff and a member of the Administration Department. It will include the specific duties and responsibilities of this position description plus employee attitude and general working behavior. Formal evaluation will normally be performed annually, but may be initiated at other times by the Clinic Manager. Qualifications:High School Diploma or GED is required.Medical office experience and extensive medical terminology knowledge required.A minimum of two years healthcare experience is desirable.The ability to use current office machines and equipment.The ability to type a minimum of 60 words per minute.The ability to communicate effectively in person and on the telephone with other staff, the public, the patients, and the medical staff of the community health center.Status:This is a nonexempt position.This is not an OSHA high risk position.This is an ADA negotiable position.DISCLAIMER:The duties and responsibilities, qualifications, physical conditions and other statements contained herein represent the current general nature of the job described, and are subject to change at any time, with or without notice. This position may be moved to other site locations due to need or performance. This job description does not limit in any way the assignments that may be given to an employee in the job, and employees are expected to perform any and all duties assigned by their supervisor willingly and without reservation.Employee Signature:__________________________________________Date: ___________________ ................
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