Medical Scribe
: Job Details :

Schedule:Part time - 20-35 hours/week, benefit eligibleShift:First Shift (Days - Less than 12 hours per shift) (United States of America)Weekly Work Schedule:Three 8-hour shifts per week (variable)8:00am - 4:30amJob InformationExemption Status: Non-ExemptA Brief OverviewProvides high quality documentation of the medical record through supervision by nursing and physicians. This position spends a high percentage of time performing medical transcription duties as a real time Documentation Assistant for a specific physician. Time is spent routing and processing documentation and delivering reports to physicians for review in a timely manner. Core responsibility is to capture accurate and detailed documentation of the patient encounter in a real time manner. Member of the patient care team who uses acquired, clerical skills to assist in maintaining efficient workflow to ensure safe, quality care with a patient centered approach focusing on continuity of patient care and satisfaction. This role is designed to support the Physician through the management and completion of the admission, progress notes and discharge summary within the scope of their practice. Making independent clinical decisions is outside of the scope for this position, refer clinical questions to the provider or nurse.Education QualificationsAt least one completed semester in a nursing or medical education program. Required orActive Certified Nurse Assistant (CNA), OR completed a Medical Assistant program, OR Emergency Medical Technician (EMT). RequiredExperience Qualifications1 year Transcription/scribe/MA or PCT experience PreferredExperience typing or transcribing conversations. RequiredExperience in a medical setting working with providers. RequiredExperience with medical terminology and procedures. RequiredLicenses and CertificationsActive Certified Nurse Assistant (CNA) OR Emergency Medical Technician (EMT) certification is required unless MA or nursing education requirement is met.What you will doEnters information in EHR as directed by provider. Respond to various EHR messages as directed by the provider. Ensure that all orders entered are read back and confirmed to provider and entered as Pended. Assist the provider in navigating the EHRRelay all advisories or alerts that appear while scribing to obtain guidance from Provider on proper response.Efficiently documents information using the appropriate forms and/or electronic applicationsResponsible for the documentation of the patient's progress notes, and discharge summary under the direction and supervision of the physician. Documents in patient and department records in a timely, accurate and concise manner according to department standards.Evaluates the patient's progress towards achieving outcomes and provides information to the physician as requested.All documentation assistant entries must contain an entry made by the provider that: - Affirms the providers presence during the time the encounter was recorded - Verification that provider reviewed the information - Verification of the accuracy of the information - Provider authentication including date and time Individual is required to review and agree to abide by the Scribe/Team Documentation Assistant Policy.Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.Demonstrates advocacy in all roles and settings.Practices Diversity, Equity and Inclusion principles in their daily work by respecting others' uniqueness, perspectives, backgrounds or beliefs.Communicates effectively in all areas of professional practiceUnderstands the roles of the multidisciplinary team and is able to articulate their purpose and function within the departmentDemonstrates competence in documenting according to hospital policies, regulatory agencies, and accreditation standards.Coordinates care with consulting physicians.Commits to lifelong learning through critical thinking, self-reflection, and inquiry for personal growth and development.Demonstrates willingness to participate in process of evolution the scope of the Stormont Vail Health professional practice modelLeads therapeutic groups activities as assigned.Required for All JobsComplies with all policies, standards, mandatory training and requirements of Stormont Vail HealthPerforms other duties as assignedPatient Facing OptionsPosition is Not Patient FacingRemote Work GuidelinesWorkspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.Stable access to electricity and a minimum of 25mb upload and internet speed.Dedicate full attention to the job duties and communication with others during working hours.Adhere to break and attendance schedules agreed upon with supervisor.Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.Remote Work CapabilityHybridScopeNo Supervisory ResponsibilityNo Budget Responsibility No Budget ResponsibilityPhysical DemandsBalancing: Occasionally 1-3 HoursCarrying: Occasionally 1-3 HoursClimbing (Ladders): Rarely less than 1 hourClimbing (Stairs): Rarely less than 1 hourCrawling: Rarely less than 1 hourCrouching: Rarely less than 1 hourDriving (Automatic): Rarely less than 1 hourDriving (Standard): Rarely less than 1 hourEye/Hand/Foot Coordination: Frequently 3-5 HoursFeeling: Occasionally 1-3 HoursGrasping (Fine Motor): Occasionally 1-3 HoursGrasping (Gross Hand): Occasionally 1-3 HoursHandling: Occasionally 1-3 HoursHearing: Frequently 3-5 HoursKneeling: Rarely less than 1 hourLifting: Rarely less than 1 hour up to 25 lbsOperate Foot Controls: Rarely less than 1 hourPulling: Occasionally 1-3 Hours up to 25 lbsPushing: Occasionally 1-3 Hours up to 25 lbsReaching (Forward): Occasionally 1-3 Hours up to 25 lbsReaching (Overhead): Occasionally 1-3 Hours up to 25 lbsRepetitive Motions: Occasionally 1-3 HoursSitting: Frequently 3-5 HoursStanding: Frequently 3-5 HoursStooping: Rarely less than 1 hourTalking: Frequently 3-5 HoursWalking: Occasionally 1-3 HoursWorking ConditionsBurn: Rarely less than 1 hourChemical: Rarely less than 1 hourCombative Patients: Frequently 3-5 HoursDusts: Rarely less than 1 hourElectrical: Rarely less than 1 hourExplosive: Rarely less than 1 hourExtreme Temperatures: Rarely less than 1 hourInfectious Diseases: Occasionally 1-3 HoursMechanical: Rarely less than 1 hourNeedle Stick: Rarely less than 1 hourNoise/Sounds: Rarely less than 1 hourOther Atmospheric Conditions: Rarely less than 1 hourPoor Ventilation, Fumes and/or Gases: Rarely less than 1 hourRadiant Energy: Rarely less than 1 hourRisk of Exposure to Blood and Body Fluids: Rarely less than 1 hourRisk of Exposure to Hazardous Drugs: Rarely less than 1 hourHazards (other): Rarely less than 1 hourVibration: Rarely less than 1 hourWet and/or Humid: Rarely less than 1 hourStormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.Job Type: Part-timeExpected hours: 24 per weekWork Location: In person