Medical Scribe Job at American Nursing Care (College Station)

Job Description

Ability to comprehend and follow instructions; maintain attention and concentration for necessary periods; synthesize, coordinate, and analyze data, perform simple and repetitive tasks; maintain a work pace appropriate to given work load; perform complex and varied tasks; relate to other people beyond giving and receiving instructions; get along with co-workers and peers; understand the meaning of words and how to use them appropriately and effectively; understand and remember detailed instructions; make independent decisions or exercise judgment based on appropriate information; accept and carry out responsibility for direction, control and planning.

Job Responsibility

Documents or records the visit elements exactly as stated by the practitioner without interjecting his or her own observations or impressions
Captures accurate and detailed documentation (handwritten, electronic, or otherwise) of the encounter in a timely manner
Assists the practitioner in navigating the medical record
Responds to various messages as directed by the practitioner
Locates information for review (es: previous notes, reports, test results, and lab results)
Documents information into the medical record as directed by the practitioner
Enters information in the electronic health record such as patient history, system review and physical examination, vital signs, procedures and treatments performed by the practitioner, care plan and medication lists, progress of lab, x-ray or other patient evaluation data, and practitioner dictated diagnoses, prescriptions and instructions
Research information requested by the practitioner
Must make entries in the electronic health record using their own password/ access for all entries and must clearly include the name of the scribe and a legible signature/electronic signature, the name of the practitioner rendering services, qualifications of each person, and authentication of the scribe, including accurate date and time of service
Supports the practitioner in care documentation and data retrieval
Performs other duties as assigned to meet the organization`s needs

Requirements

High School graduate
Enrolled in college courses
1 year of experience in a similar position
Ability to comprehend and follow instructions
Maintain attention and concentration
Synthesize, coordinate, and analyze data
Perform simple and repetitive tasks
Maintain a work pace appropriate to given work load
Perform complex and varied tasks
Relate to other people beyond giving and receiving instructions
Get along with co-workers and peers
Understand the meaning of words and how to use them appropriately and effectively
Understand and remember detailed instructions
Make independent decisions or exercise judgment based on appropriate information
Accept and carry out responsibility for direction, control and planning

Nice to have

Bachelor's Degree
2 years experience in a similar position or clinic setting
Knowledge of Medical Terminology

What we offer

Medical
Prescription drug
Dental
Vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

American Nursing Care - All Job Offers