Medical Scribe

at  RWJBarnabas Health

JOB OVERVIEW:

The Medical Scribe provides the department clinicians with documentation assistance and follow-up on diagnostics/consults/orders, etc. This assistance is crucial in providing clinicians additional time to directly speak to and consult with patients. This is a great opportunity for entry level healthcare professionals to build on medical knowledge and gain invaluable clinical exposure in working alongside MD s.

QUALIFICATIONS:

Required:

• HS Diploma or GED equivalent required.
• Completion of science or clinical coursework at the undergraduate level or above required.
• Work experience in a direct patient care clinical setting may be considered in lieu of science or clinical coursework.
• Work, volunteer, or shadowing experience in the healthcare field required.
• Experience in a direct patient care environment preferred (e.g. medical scribe, patient care technician, medical assistant, EMT). Must be documented on resume

Preferred:

• Bachelor s Degree preferred

SCHEDULING REQUIREMENTS:

• Days to work
• Per Diem schedule

ESSENTIAL FUNCTIONS:

• Accompany clinicians into patient rooms and transcribe clinician dictations/notes
• Actively listen to all conversations pertaining to patient care between the clinician and other healthcare providers, patients, family, etc. and document relevant information into the EMR
• Document clinician and patient encounters into EMR
• Seek out missing information from clinicians to complete the physician chart
• Gather and input pertinent patient information from external sources (e.g. outpatient lab tests, nursing home/EMS records)
• Place phone calls to PMD offices, pharmacies, etc. as requested by the clinician
• Keep clinicians informed of resulting diagnostics and troubleshoot delays in those results

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.