Base: $21.85 - $32.80; bonus/equity: not specified...
Real-time medical record documentation
Document physician-patient communication
Prepare and pend orders
In accordance with policy, prepares and assembles medical record documentation/chart for physician prior to patient visit
Job Summary
In accordance with policy, prepares and assembles medical record documentation/chart for physician prior to patient visit.
Enters the patient room with the physician/clinician during patient visit to capture and transcribe medical record documentation in real time using electronic medical record applications.
With proven competency, may perform clinical functions such as prepare and room patient for exam, obtain vital signs and document/update pertinent health information, assist the physician/clinician with non-sterile procedures, schedule appointments and referrals to other facilities or services, and perform other data entry into the EHR.
Matching Summary
In accordance with policy, prepares and assembles medical record documentation/chart for physician prior to patient visit.
Salary
Base: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: No
Skills & Requirements
Must-have
Real-time medical record documentation
Document physician-patient communication
Prepare and pend orders
Update patient history
Advanced keyboarding skills
Proficient computer skills
High attention to detail
Nice-to-have
Develop rapport with patients
Maintain positive professional relationships
Work in a fast-paced environment
Key Requirements
High School Graduate
1 year experience in medical assisting, transcription, EMS, patient service, or healthcare professional
Proficiency in medical terminology and technical spelling
Familiarity with medication names and medical procedures