Job Description

Scribe - Integrative Pain Center Per Diem
Job CategoryAllied Health
SchedulePer Diem
Shift1 - Day Shift

The TMC Integrative Pain Center provides highly specialized treatment for both acute and chronic pain.  Each patient receives individualized care with compassion and respect by highly skilled staff and providers.  We are looking for a team member who is experienced and has a passion for pain care.

SUMMARY:
Assists provider with documentation and efficiency management.  Observes the provider during patient encounters and performs documentation on the provider’s behalf. Under the direction of the provider, the Scribe enters information into the patient’s electronic or written chart.  Assists in maintaining that the scribed chart accurately reflects all work performed by the provider.

ESSENTIAL FUNCTIONS:

Chart in real-time as the provider assesses and examines the patient.

Document the history, physical exam, assessment and plan, results, procedures, treatment, and physician consultations.

Record provider dictated diagnoses, prescriptions and instructions for patient follow-up.

Locate and obtain past medical histories, previous charts, past results, and studies.

Transcribe ancillary test results and their interpretations.

Check on the progress of labs, imaging studies, and other patient data.

Retrieve and display current and past EKGs and imaging films (e.g. Xrays for the provider to review and record provider’s interpretation (if applicable).

Comply with all national and local PHI laws including in HIPAA and HITECH.

Comply with all facility, department, company policies and procedures.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS:

EDUCATION:  High school diploma or general education degree (GED).

EXPERIENCE: Preferred two (2) years of related Scribe experience, preferably in an acute care setting.

LICENSURE OR CERTIFICATION: None required

 

Application Instructions

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