Scribe

Job Summary
A Scribe works to facilitate patient flow and ensure an accurate and complete medical record for each patient in clinic setting.
Reports to: Physician Practice Director
FLSA: Non-exempt
Job Requirements
Minimum Education
High School Diploma - required.
Associate's Degree Preferred.
Will consider Healthcare students enrolled in a program such as medical student/physician assistant student/or nursing student. Must be able to meet the requirements for clinic hours of operation.
Minimum Work Experience
Minimum 6 months experience as a Medical Scribe, or 6 months related experience and/or training. Will consider equivalent combination of education and experience.
Required Skills
Basic Life Support
CMA License Required or CCMA
Requires critical thinking skills, detail oriented with decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be flexible with work location assignments.
Understanding of medical terminology, anatomy and physiology, diagnostic procedure, pharmacology, and treatment assessment.
Computer proficiency and ability to quickly learn new applications.
Proficient in typing, spelling, punctuation, and grammar.
Essential Functions
Accompany physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician's encounter with the patient and others present.
List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
Document any procedures performed by the physician.
Scribe is responsible for entering attestation, sign and date all records at time of service.
The scribe's primary function is to act as a "living recorder" with no clinical patient contact, eg.the scribe does not obtain vital signs, administer medications, or assist in medical procedures performed by the physician, nurse, or tech.

Functional Demands
Populations Served
Neonate (Infant (Early Childhood (1 year and Late Childhood (5 years and Adolescent (13 and Young Adult (17 to Middle Adult (30 years to Older Adult (>60 years)
Portected Health Informatoin
Type of Protected Information Accessed:
Demographic
Clinical
Insurance
Financial
Complete Medical Record
Bloodbourne Pathogens Exposure
While performing this job, occupational exposure is present for all employees
Physical Requirments-Physical Dexterity and Effort:: Rarely Bending/Stooping: x frequently
Climbing: x rarely
Keyboard Data Entry: x constantly
Kneeling: x occasionally
Lifting/Moving Patients x rarely
Reaching: x frequently
Repetitive Foot/Leg Movements: x rarely
Repetitive Hand/Arm Movements: x occasionally
Running: x rarely
Sitting: x frequently
Squatting: x rarely
Standing: x frequently
Walking: x frequently
Pushing/Pulling 0-25 lbs: x occasionally
Pushing/Pulling: 26-75 lbs: x rarely
Pushing/Pulling >75 lbs: x rarely
Lifting/Carrying (non-patient) 0-25 lbs: x occasionally
Lifting/Carrying (non--patient) 26-75 lbs: x rarely
Lifting/Carrying (non -patient) over 75 lbs: x rarely
Vistual Acuity, Hearing, and Speaking: Rarely Audible Speech: x frequently
Hearing Acuity: x constantly
Smelling Acuity: x occasionally
Taste Discrimination: x rarely
Vision Depth Perception: x frequently
Vision Distinguish Color: x frequently
Vision Seeing Far: x frequently
Vision Seeing Near: x frequently
Biological: Rarely Biohazardous waste/hazards : x Occasionally
Blood and/or bodily fluids: x Occasionally
Communicable diseases/pathogens: x frequently

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.