Medical Scribe

Aurora Health Care - Grafton, WI3.7

Full-time
How You'll Make a Difference:
Assists physician/clinician in documenting details of the patient visit via the electronic medical record, and performs other related clerical duties to increase physician/clinician effectiveness, efficiency, and productivity for improved patient flow and satisfaction. Effectively communicates and ensures the patient's clear understanding of the scribe role, in order to enhance the patient's experience and comfort level.

In accordance with policy, prepares and assembles medical record documentation/chart for physician prior to patient visit. Anticipates physician needs for patient visits by obtaining internal and external previous medical records and test results. Ensures that all elements of documentation are complete and accurate.
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. Documents the physician/clinician's communication with the patient using appropriate medical terms and phrasing.
Prepares (pends) orders including follow-up testing, lab orders, medication orders, consults and/or referrals and the associated diagnosis to be connected with those orders. Documents the correct follow-up instructions and level of service designation based on the physician/clinician's direction. Assists in data entry from devices or other sources.
Completes medical records for each encounter ensuring accurate and timely documentation. Under physician/clinician direction, updates patient history and other pertinent health information in the patient record. Prepares and sends all documentation for review and approval.
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.

What it Will Take:
Licenses & Certifications

None Required.

Degrees

High School Graduate

Required Functional Experience

Requires 1 year of experience in medical transcription, emergency medical services, or as a health care professional with demonstrated proficiency in medical terminology and technical spelling.

Knowledge, Skills & Abilities

Successful completion of Aurora authorized medical scribe training course within 30 days of hire. Knowledge of medical terminology, including basic human anatomy and coding. Demonstrates familiarity with medication names and medical procedures. Knowledge of essential elements of documenting a provider-patient encounter, HIPAA compliance, and Centers for Medicare and Medicaid Services requirements. Excellent communication and interpersonal skills. Ability to maintain sensitivity and confidentiality for the patient while assisting physician. Ability to develop rapport and maintain positive, professional relationships. Requires adherence to all policies and procedures, including but not limited to standards for safety, patient service, attendance, punctuality, and personal appearance. Proficient computer skills including: advanced keyboarding, above average typing speed, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems. Ability to effectively multi-task, with excellent prioritization and organization skills. Must have a high attention to detail and accuracy when documenting health information. Ability to work effectively in a fast paced and stressful environment. Must have ability to travel to various work locations.

Scheduled Hours:
Full-time:
Monday morning Good Hope, afternoon Good Hope or Grafton
Tuesday morning Sheboygan, afternoon Grafton
Wednesday Sheboygan all day
Thursday Sheboygan all day
Friday Grafton all day

We may also consider hiring 2 part-time Scribes:
Sheboygan on Tuesday Mornings, Wednesdays, Thursdays
Good Hope/Grafton on Mondays, Tuesday Afternoons, Fridays

Department:
Cardiology

Location Address:
975 Port Washington Rd

Grafton, WI

53024-9201

Ozaukee

At Aurora Health Care:
We pride ourselves on taking care of our people. And not just our patients—we mean you, too. We help each other live well. When you work at Aurora, you get the chance to work with a dedicated team that’s as passionate about the work as you are. Here, you’ll find limitless opportunities for ongoing learning, career advancement, competitive compensation and a stable work environment. But more than that, you have the opportunity to change lives—including your own.

Diversity and inclusion matters at Aurora. We celebrate our differences and nurture an environment where everyone feels included. We know that when we reflect the communities we serve, when we embrace differences and bring our whole selves to work every day, we are working as one to build a healthier tomorrow for everyone. Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer.