Hospital Scribes, also known as Medical Scribes, act as personal assistants to Physicians, assisting them with medical documentation throughout their shifts. Hospital Scribes increases the efficiency and productivity of Physicians by completing the necessary documentation and clerical duties related to patient care.
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Hospital Scribe Job Description Template
We are looking for a detail-oriented individual to join our team as a Hospital Scribe. The responsibilities of the Hospital Scribe include collaborating with Physicians, performing clerical and IT functions for the Physician, operating the electronic health records (EHR), and anticipating the Physician's needs in a clinical setting.
To be successful as a Hospital Scribe, you should be discreet and tactful. Ultimately, a top-notch Hospital Scribe should display good judgment, attention to detail, and initiative.
Hospital Scribe Responsibilities:
- Entering patient rooms with the Physician and documenting medical procedures and visits as they are being performed by the Physician.
- Preparing referral letters for the Physician via dictation or a summary of the patient's medical records.
- Coordinating referrals, preparing reports, manning the telephones, and performing other clerical tasks.
- Ensuring medical documentation is error-free, up-to-date, and signed by the attending Physician.
- Adding all clinical data, lab reports, and Physician interpretations to the medical records and ensuring accuracy.
- Assisting with the development and maintenance of patient tracking systems.
- Attending training and conferences on a wide range of medical subjects.
- Editing the Physician's medical documents for errors.
- Adhering to all ethical, legal, and confidentiality requirements for preparing medical documents.
Hospital Scribe Requirements:
- High school diploma or GED.
- Bachelor's degree in a medical field may be advantageous.
- Experience in Hospital Scribing may be advantageous.
- Compliance with HIPAA confidentiality standards.
- An in-depth understanding of medical terminology and anatomy.
- Experience with medical record software and hardware.
- Excellent language and written and verbal communication skills.
- Good mathematical and computer skills.
- Accurate and fast typing skills.
- Strong attention to detail, record-keeping, and reporting skills.
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