Provider Transcriber

Department: UHC: Ophthalmology

About the role

The Provider Transcriber performs transcription functions by shadowing a Provider and taking real-time notes in the electronic medical record during face-to-face encounters with patients. He or she records the history of present illness, past medical history, past surgical history, family history, social history, review of systems, positive findings from the physical exam, the Provider's impression/assessment and plan/orders, and is accountable for the accurate transcription of medical reports, history & physical, relevant orders, patient instructions, etc.

The Provider Transcriber will accurately and thoroughly document in the patient's medical record only information that is verbalized (i.e. word for word) or inferred by the Physician and/or independent licensed practitioners for whom he or she is transcribing. The Provider Transcriber will also assist with the preparation of school/work notes and/or letters to Referring Providers. Performs other duties as needed.

Responsibilities

• Shadow a Provider and take real-time notes in the electronic medical record during patient encounters.
• Record history of present illness, past medical/surgical history, family/social history, review of systems, and physical exam findings.
• Transcribe the Provider’s impression, assessment, plan, and orders accurately.
• Document only verbalized or inferred information from the Physician or licensed practitioners.
• Prepare school/work notes and letters to Referring Providers.
• Perform other duties as assigned.

Requirements

• High School Diploma or GED required.
• Completed coursework in medical terminology, stenography, secretarial, or transcription preferred.
• Minimum one year of transcription experience preferred (no experience required).

Skills

• Able to keyboard at 50 words per minute.
• Proficient in using computers, printers, and software (e.g., Word, Excel, Outlook, PowerPoint).
• Ability to operate and troubleshoot basic office equipment.
• Work calmly and respond courteously under pressure; collaborate and accept direction.
• Think critically, manage multiple assignments, organize and prioritize workload.
• Work well under pressure, problem-solve, and recall information accurately.
• Pay close attention to detail and work independently with minimal supervision.
• Adequate vision to read computer screens and documents; sufficient hearing for conversations and workplace sounds.

About Us

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork, and wholeness.

Loma Linda University Health is a Seventh-day Adventist, faith- and values-based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.