Dermatology Scribe

About the role

The Scribe facilitates and assists in the completion of the physician's medical records and patient documentation in a professional and timely manner. The Scribe accompanies a physician through the duties of patient care during the course of each work shift, while updating the medical record in real time.

Responsibilities

• Transcribe details of the physical exam and elements of the chart, including lab tests, imaging tests, or medications ordered by the physician.
• Record physician consultations with family members or other physicians about a specific patient's case.
• Remind physician on the progress of lab, X-ray, or other patient evaluation data and transcribe the results into patient charts.
• Document procedures performed by the physician or any other healthcare professional, including nurses and physician assistants.
• Assist in initiating pages to consultants for the physician.
• Master the use of the EPIC EMR and the PACS imaging system.
• Assist with mask drop off and retrieval, bleach changes, replacement of PPE, and employee exposure logs when working with PPEs.
• Implement appropriate and timely referrals to physician advisors when working as a documentation specialist.
• Collect data showing activities performed and improvements made.
• Perform pre-billing reviews of clinical documentation.
• Demonstrate awareness of the business of medicine and changes in coding and billing in a healthcare setting, including Value Based Medicine, Readmission Reduction Programs, provider updates, and updates from CMS that may impact billing, documentation, and coding.

Requirements

• Associate's degree or equivalent required.
• 1–2 years of experience working with the public in a healthcare setting required.
• Excellent PC, typing, interpersonal, and verbal communication skills required.
• Familiarity with medical terminology required.