Job Title

Live Medical ScriberWe’re seeking a Medical Scriber who is ready to work with new technologies and help ourproviders with saving time and money. The ideal candidate has experience using the EHRto scribe visitation notes into the patient’s chart while understanding the differencenuances between multiple providers in real time.Objectives of this roleResponsibilities• Reviews Physician dictation and transcribes to clinical notes in EMR/Billingsystems• Prepares and assembles medical record documentation/charts for physician(s).• Ensures medical record compliance by self-documentation attestation.• Updates patient history, physical exam, and other pertinent health information inthe patient• Prepares and sends all documentation to physicians for review and approval viaauthentication of detailed data entry and facility-specific procedures.• Monitors the duration of basic lab results and screening procedures.• Complies with hospital and medical facility policies, including those relating toHIPAA and Joint Commission.• Performs other clerical duties and tasks to improve provider productivity andclinic workflow as assigned.• Assign codes to diagnoses and procedures, using ICD (InternationalClassification of Diseases) and CPT (Current Procedural Terminology) codes• Ensure codes are accurate and sequenced correctly in accordance withgovernment and insurance regulations• Follow up with the provider on any documentation that is insufficient or unclear• Communicate with other clinical staff regarding documentation• Search for information in cases where the coding is complex or unusual• Receive and review patient charts and documents for accuracy• Review the previous day's batch of patient notes for evaluation and coding• Ensure that all codes are current and activeRequired skills and qualifications• 3-5 years of experience as a Live Medical Scriber• Administrative writing skills• Reporting skills• Organizational skills• Record-keeping• Microsoft Office skills• Professionalism, confidentiality, and organization• Typing• Solid oral and written communication skills• Education, Experience, and Licensing Requirements:• Medical coding or successful completion of a certification program• Bachelor’s degree with pre-health career track preferred• Strong knowledge of anatomy, physiology and medical terminology• Familiarity with ICD-X codes and CPT Procedures• Skilled in operating various medical record software and hardware, word-processing, and database software programs