Medical Scribe

 JOB DESCRIPTION

POSITION TITLE

MEDICAL SCRIBES

JOB STATUS

Permanent Position or Part-Time Position

REPORTS TO

Office Manager

OVERVIEW:

This position is responsible in the transcription and documentation of patient medical records based on the Physician’s verbal or written notes.  Efficiency, accuracy and detailed data entry are critically essential in this position. Candidate should have the ability to write routine reports, proficiency in typing and can summarize patient information in a clear, complete and accurate manner. Must be trustworthy and must handle information with strict confidentiality.

ROLES AND RESPONSIBILITIES:

Responsible for documenting accurate and detailed information of patient visits including medical history, diagnosis, treatments and care plans.

Gathers data such as nursing notes, prior records, labs and radiology results.

Proofread and edit all medical documents for accuracy, spelling, punctuation and grammar.

Ensures that all clinical data, lab results and other related information are included in the Physician’s progress notes.

Performs clerical duties and tasks as assigned.

QUALIFIFCATIONS:

A. Education

     With High School Diploma or A graduate of any course, healthcare field is preferred but we are willing to train the most qualified candidate

B. Experience

     At least one (1) year related work experience

C. Knowledge and Skills

     Knowledge:

     Medical Terminology & Coding

Medical Documentation

     Skills:

     Computer literate (Microsoft Office)

     Administrative Writing Skills           

     Typing Proficiency with at least 30 wpm

     Record-keeping and filling

     Excellent written and oral communication skills

     Ability to Multitask

     Handling patient information with strict confidentiality

D. Training

     With Medical Assistant Training is a plus factor