Medical Scribe

Description:

Responsibilities:

• Document patient encounters in real-time during clinic visits, including the History of Present Illness (HPI), physical examination findings, assessments, and treatment plans as dictated by the physician.
• Accurately enter and update patient information in the Athen EHR system under the supervision and direction of the physician.
• Review, organize, and prepare patient charts prior to appointments to ensure all relevant medical records and documentation are available.
• Maintain and update patient records in the EHR system, including follow-up notes, referrals, and clinical documentation as required.
• Ensure all clinical documentation is accurate, complete, and submitted in a timely manner in accordance with clinic policies and medical documentation standards.
• Maintain patient confidentiality and strictly adhere to HIPAA guidelines at all times.
• Coordinate with front desk staff, physicians, and medical billing teams to address any documentation-related queries or discrepancies.
• Demonstrate an understanding of basic physiotherapy assessments, treatments, and medical terminology to support accurate documentation (preferred).

Requirements:

• A medical or healthcare-related degree is required.
• Minimum 2 years of experience as a Medical Scribe.
• Hands-on experience with Athen EHR (mandatory).
• Excellent typing speed and accuracy.
• Strong listening, comprehension, and documentation skills.
• Excellent command of the English language (spoken and written).