Medical Assistant or LPN Scribe - Dermatology Clinic

About the role

You will assist physicians and clinicians in documenting patient visits via the electronic medical record and perform related clerical duties to increase provider effectiveness, efficiency, and productivity for improved patient flow and satisfaction.

Responsibilities

• Effectively communicate the scribe role to patients to enhance their experience and comfort level.
• Prepare and room patients for exams by obtaining vital signs and gathering/documenting/updating pertinent health information (e.g., chief complaint, allergies, medications).
• Perform laboratory procedures (e.g., strep tests, wound cultures, specimen collection) using aseptic technique and infection control guidelines.
• Assist physicians/advanced practice providers (APPs) with procedures and surgeries (e.g., pelvic exams, allergy scratch testing, EMG, cautery, colposcopy).
• Administer routine medications under physician/APP orders, including immunizations, antibiotics, vitamins, and topical agents.
• Provide basic patient instructions on routine tasks or skills.
• Follow through with procedure/test requests, pre-approved care algorithms, appointment scheduling, and referrals.
• Relay patient questions to registered nurses or physicians per scope of practice guidelines and communicate responses back to patients.
• Coordinate with physicians and healthcare team members to ensure smooth clinic flow and adjust as necessary.
• Prepare and assemble medical records for physicians prior to patient visits, anticipating needs by obtaining internal/external medical records and test results.
• Accompany physicians/clinicians into patient rooms to capture and transcribe medical documentation in real time using electronic medical record applications.
• Document physician-patient communication using appropriate medical terminology.
• Prepare (pend) orders, including follow-up testing, lab orders, medication orders, consults, and referrals, linking them to associated diagnoses.
• Document follow-up instructions and level of service designation based on physician direction.
• Assist in data entry from devices or other sources.
• Complete medical records for each encounter, ensuring accurate and timely documentation.
• Update patient history and other health information in the patient record under physician/clinician direction.
• Prepare and send all documentation for review and approval.

Requirements

• Licensed Practical Nurse (LPN) license issued by the state of practice or completion of an accredited Medical Assistant (MA) program.
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) must be obtained within 6 months unless waived by department leadership.
• Advanced training beyond high school for LPNs or completion of an accredited MA program.

Skills

• Proficient computer skills, including keyboarding, navigation within a Windows operating system, and use of electronic mail and medical records systems.
• Excellent written and verbal communication skills.
• Strong interpersonal skills to develop rapport with patients, families, staff, and physicians.
• Good organizational, prioritization, and problem-solving abilities.
• Ability to multitask with frequent interruptions.