Medical Scribe - Dr Gardner, Clinic, PRN

Job Description

Job Description

Job Summary:

• Transcribes, proofreads, and edits complex technical and medical reports for a broad range of clinical specialties and departments to document patient care. Accountable for the accurate transcription of patient medical visits.

Duties and Responsibilities:

1. Able to transcribe dictated reports and written drafts.

1. Responsible for typing all physician dictation: H&Ps, operative notes, therapeutic procedures, consultations, discharge summaries, etc.

1. Proofreads all transcribed documents for accuracy and completeness; verifies patient information for accuracy and completeness.

1. Transcribed documents are free of terminology, punctuation, grammatical, typographical errors, and misinterpretations.

1. Identifies inconsistencies and, when necessary, seeks clarification from the dictating individual.

1. Formats reports and corrects document changes made by physicians.

1. Prioritizes STAT reports. Delivers immediately upon completion of the report and verification of accuracy/neatness.

1. Copies and distributes documents as required.

1. Maintains a daily log of transcribed reports.

1. Understands medicolegal implications and responsibilities related to the transcription of patient medical records.

1. Utilizes medical dictionaries, the current Physician’s Desk Reference, Hospital Formulary, and other reference materials as needed.

1. Answers the phone professionally and courteously; takes messages; routes calls to appropriate staff members.

1. Performs clerical work as needed.

1. Maintains a good working relationship within the department and with other departments and physicians.
2. Performs other duties as requested.

Professional Requirements:

• Ensures that appearance and personal conduct are professional at all times.
• Excellent attendance record.
• Wears appropriate clothing for job functions. Wears an ID badge.
• Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
• Represents the organization positively and professionally in the community.
• Maintains patient confidentiality at all times.
• Complies with all organizational policies regarding ethical business practices.

Regulatory Requirements:

• Certified Medical Transcriptionist (CMT) status preferred.
• Two years of experience as a medical transcriptionist preferred or equivalent combination of education and/or experience.