Johns Hopkins Medical Management Corporation
Location
Bethesda, Maryland
Salary
$20 / HOUR
The Medical Scribe is responsible for accurately documenting patient encounters and dictations for orthopedic surgeons in real-time. Duties include pre-charting, entering orders for clinician approval, and assisting with clinical research activities.
Candidates must hold a Bachelor's degree in Human Anatomy, Physiology, Nursing, or a related discipline. At least six months of experience as a medical scribe or transcriptionist and proficiency with EPIC are required.
Work with the ortho surgeons, pre-charting and pulling medical records, and working with the surgeon to take notes during dictations. Accompany clinician into patient exam areas for the purpose of accurately documenting the clinician's encounter with the patient as described by the clinician. Seek real-time clarification of all information entered into the medical record. List diagnoses and symptoms as well as follow-up instructions and prescriptions as mentioned by the clinician. Enter orders, including diagnostic testing and medications which are pended and require clinician approval to activate. Document procedures performed and described by the clinician. Invoke the organizations approved scribe statement for each clinical note. Complete all scribe duties before leaving the patient care area. Maintain professional appearance and conduct at all times. Participate in clinical research activity at the direction of the clinician. Perform literature searches and data bases searches to gain data required for projects. Perform other duties as required.
Bachelor's Degree in Human Anatomy, Physiology, Medical Terminology, Nursing, or related discipline Six months experience as a medical scribe, medical transcriptionist, or other related job in a medical office EPIC knowledge/experience Johns Hopkins Health System and its affiliates are an Equal Opportunity/ Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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