Job Summary and Responsibilities
Documents defined visit elements in a patient's electronic health record on behalf of a practitioner while being physically present in the room with the practitioner.
Documents or records the visit elements exactly as stated by the practitioner without interjecting his or her own observations or impressions.
Captures accurate and detailed documentation (handwritten, electronic, or otherwise) of the encounter in a timely manner.
Assists the practitioner in navigating the medial record.
Responds to various messages as directed by the practitioner.
Locates information for review (es: previous notes, reports, test results, and lab results)
Documents information into the medical record as directed by the practitioner.
Enters information in the electronic health record such as patient history, system review and physical examination, vital signs, procedures and treatments performed by the practitioner, care plan and medication lists, progress of lab, x-ray or other patient evaluation data, and practitioner dictated diagnoses, prescriptions and instructions.
Researches information requested by the practitioner.
Must make entries in the electronic health record using their own password/ access for all entries and must clearly include the name of the scribe and a legible signature/electronic signature, the name of the practitioner rendering services, qualifications of each person, and authentication of the scribe, including accurate date and time of service.
Supports practitioner in care documentation and data retrieval.
Performs other duties as assigned to meet the organization`s needs.
Job Requirements
? Education
Required: High School graduate, enrolled in college courses
Preferred: Bachelor's Degree
Experience
Required: 1 year of experience in a similar position
Preferred: 2 years experience in a similar position or clinic setting
Skills
Preferred: Knowledge of Medical Terminology
Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Pay Range
$11.00 - $14.53 /hour
We are an equal opportunity/affirmative action employer.
...comprehensive benefits package. Basic qualifications include being 18 years of age or older, no experience required, and no high school diploma, GED, or college degree required. Preferred qualifications include customer service experience and one year of similar work...
Entry Level to Senior Level Database Administrator (Multiple Positions) Join to apply for the Entry Level to Senior Level Database Administrator (Multiple Positions) role at Byteware IncResponsibilities include SQL and relational database designing and administration,...
Job Description Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. \n Outlier is committed to improving the intelligence & safety of AI models. Owned and operated...
Pay rates now starting at $14.50 dollars per hour! Now offering DAILY PAY for select positions! Ambercare is now offering current Caregivers the opportunity to move forward with their career, by becoming a Certified Nurse Assistant. Please contact the office to learn more...
...creditors and institutional lenders throughout the Western United States. Please submit your resume. Job Type: Full-time, contract work, or part-time available Job Type: Full-time Pay: $85,000.00 - $110,000.00 per year Benefits: * 401(k)* Dental insurance...