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Medical Scribe

0-5 years
Not Disclosed
12 May 22, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Communication Skills, CPC Certified, ICD-10 CM, CPT, HCPCS Coding, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Description: Medical Scribe

Overview

TekWissen Group is a workforce management provider operating throughout the USA and in many other countries globally. Our client manufactures and sells consumer lawn, garden, and pest control products.

Position Details

  • Position: Medical Scribe
  • Location: Baltimore, MD 21287
  • Duration: Full Time
  • Job Type: Full Time
  • Work Type: Onsite
  • Shift: 8 AM - 5 PM

Job Description

The primary role of the Medical Scribe is to ensure the complete and accurate capture of medical information as dictated by the clinician. The scribe assists the clinician in navigating the electronic health record (EHR) and does not perform independent clinical judgment or direct patient care.

Essential Functions

  • Documentation: Accompany clinician into patient exam areas to accurately document the clinician’s encounter with the patient as described by the clinician.
  • Clarification: Seek real-time clarification of all information entered into the medical record.
  • Data Entry: List diagnoses and symptoms, follow-up instructions, and prescriptions as mentioned by the clinician.
  • Order Entry: Enter orders for diagnostic testing and medications, which require clinician approval to activate.
  • Procedure Documentation: Document procedures performed as described by the clinician.
  • Compliance: Invoke the organization’s approved scribe statement for each clinical note.
  • Completion: Complete all scribe duties before leaving the patient care area.
  • Professionalism: Maintain professional appearance and conduct at all times.

Qualifications

Required

  • High School diploma or GED.
  • Bachelor’s Degree in Human Anatomy, Physiology, Medical Terminology, Nursing, or related discipline.

Preferred

  • Six months of experience as a medical scribe, medical transcriptionist, or in a related job in a medical office.
  • Knowledge/experience with EPIC electronic health records.

Application Instructions

Please apply through the provided application system if you meet the qualifications and are interested in joining our team.