Clinical Documentation Specialist - Medical Scribe

Description

Mission: Virginia Urology will provide access to individualized, quality, and compassionate urological care from a highly specialized and diverse teams while maintaining a fulfilling work environment.

Responsibilities

• Gathers information from multiple sources including recent health records from external providers and facilities in preparation for patient clinic visits.
• Abstracts patient information from the chart in preparation for the upcoming patient visit and enters the information into the EMR.
• Aids the physician and nurse during clinic visits by entering an accurate, complete record of the patient encounter in real-time into the EMR. This includes the patient’s medical history, complaint, symptoms, physical exam, physician’s assessment and treatment plan, post-visit documentation, and follow-up instructions. Entry is reviewed and approved by the provider.
• Captures electronic prescriptions, submits referrals to other medical specialists, and enters laboratory test and imaging orders to facilitate the provider’s treatment plan for the patient.
• Enhances clinic efficiency by escorting patients to exam rooms, checking out patients and making follow-up appointments at the conclusion of the clinic visit, and cleaning and restocking exam rooms between patients to maintain a clean, productive work environment.
• Imports charges from patient’s clinic visits into the EMR, including accurate diagnostic and procedure codes.
• Under the provider’s supervision, tracks lab and imaging tests and reports results to healthcare professionals.
• Performs other duties as assigned in support of clinical excellence, operational effectiveness and patient-centered care.

Requirements

• Proficiency with Microsoft Office
• Highly detail-oriented with the ability to multi-task
• Knowledge of medical terminology or applied health sciences
• Ability to type a minimum of 65 words per minute while maintaining accurate spelling, grammar, and punctuation
• Outstanding interpersonal skills and ability to work well with team members
• Ability to maintain strict patient confidentiality
• High school diploma or GED

Desirable Knowledge, Skills, Abilities And Experience

• Prior medical office or other health facility experience supporting multiple clinicians
• Experience with data entry into an electronic medical records system
• Associate or bachelor’s degree in applied sciences preferred

Physical Requirements

• Frequent: Repetitive keyboard use, hand motions
• Precise: auditory and visual acuity
• Ability: stand for extended periods of time and push a mobile computer cart

Other Information

• Successful incumbents are committed team players who are self-motivated, highly organized, and comfortable working in a busy medical office environment.
• This position offers an excellent opportunity for individuals seeking a career in medicine to increase their knowledge and experience in healthcare and enhance their potential to further their education in the medical field.
• This position is full-time, 40 hours per week, and will work Monday through Thursday 7:30 am to 5:00 pm and Friday 7:30 am to 11:30 am.
• The Medical Scribe is assigned to a specific physician; they will typically work at two Richmond-area clinic locations.
• If traveling between offices during the workday, employees are paid for travel time and mileage.
• Full benefits package including competitive compensation, health insurance, PTO, retirement plan and personal development support.
• We are an Equal Opportunity Employer and are committed to a diverse and inclusive workplace.