Medical Scribe acts as an assistant during the examination and treatment of patients under the direction of a physician. Documents and gathers information during the treatment process. Being a Medical Scribe organizes healthcare data to provide better service and efficiency of clinical care. Typically requires an associate degree. Additionally, Medical Scribe may require certification as a Medical Scribe by the American College of Clinical Information Managers (ACCIM). Typically reports to a physician. The Medical Scribe works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Scribe typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
About Us:
Comprehensive Primary Care (CPC) is a collection of twelve office locations offering primary care for every stage of life. We’ve been part of the communities we serve for years – and in some cases decades. Together we strive for healthy neighbors across northern Virginia, eastern Maryland, and the District of Columbia.
The idea behind primary care is to provide a go-to medical home for every patient. We operate much like the old-fashioned generalists of the past – but with a distinctly contemporary approach to medicine. Your CPC primary care providers work to get to know you, your medical history and your needs, and plays an important role as the key first contact in your wellness decisions.
We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity, and accountability.
Our Values:
· Make health care easily accessible and readily available.
· Maintain a welcoming environment for all patients.
· Listen to and respect the unique needs of each patient
· Respond quickly and maintain open, multi-level communication with each patient
· Encourage whole families, extended families and friends to take charge of their health.
· Provide consistent high-quality health care
· Invest in professional development for providers and staff
· Maintain a safe and supportive working environment for all staff.
About the Role:
This position requires documenting patient visits to medical charts. Knowledge of medical terminology and anatomy is required. Must have strong typing skills. Preparing notes in an electronic medical record for patients who come into the office, intaking patients and completing the appropriate history on patients on arrival to the office, taking vital signs, performing EKGs, pulmonary function tests and preparing patients for procedures such as 24-hour blood pressure monitor, testing for sleep apnea and testing for rhythm disturbances. Call patients to discuss results, triage and schedule some patients, perform swab testing for various illnesses.
Essential Job Functions:
· Prepares and assembles medical record documentation/charts for physician(s).
· Enters the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.
· Ensures medical record compliance by self-documentation attestation.
· Updates patient history, physical exam, and other pertinent health information in the patient
· Prepares and sends all documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures.
· Monitors the duration of basic lab results and screening procedures. Complies with medical facility policies, including those relating to HIPAA.
· Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned. Maintaining the integrity of the medical record
· Ancillary duties as an extension of the physician.
· Track laboratory and testing reports and ensures providers are made aware of any “critical” results.
· Convey and document plans for addressing follow-up of “critical” results to appropriate staff, patient, and consulting provider.
· Be able to perform EKG’s.
FLSA: Non- Exempt
Hours of work: Monday: 8 am-4:30 pm, Tuesday, 6:45 am-5 pm, Wednesday, 6:45 am-5 pm, Thursday, 6:45 am-5 pm, Friday, 8 am-4pm.
Education/Experience (Minimum Requirements):
· Bachelor's degree in science.
· BLS certification.
· Experience with EMR systems
· Knowledge of medical terminology
· Strong verbal and written communication skills
· Strong typing and computer skills
· Team spirit with a positive attitude.
· Willingness to continue gaining knowledge and clinical experience.
Work Location: Washington, DC/In person
Medical Clearance:
You must complete Comprehensive Primary Care’s medical clearance requirements, which include, but may not be limited to, evidence of Hepatitis B, Pneumococcal screen, and a Tuberculosis screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.
Comprehensive Primary Care values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
This role is eligible for health insurance, life insurance, retirement benefits, paid time off, including vacation and holiday pay.
EEO
CPC is committed to a policy of equal employment opportunity, and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex (including pregnancy, sexual orientation, genetic information and gender identity), national origin, age, physical or mental disability, gender identity, genetic information, marital status, military status, lactation, or any other category protected by federal and applicable state laws. This policy applies to all aspects of the employment relationship, including hiring, placement, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, social and recreational programs, and all other terms, conditions, and privileges of employment.
CPC will not tolerate discrimination or harassment based upon race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or other status protected by applicable Federal, state, or local law.