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#MEDICAL SCRIBE JOB DESCRIPTION SOFTWARE#
#MEDICAL SCRIBE JOB DESCRIPTION LICENSE#

Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Applications are available at the AMA website.

#MEDICAL SCRIBE JOB DESCRIPTION LICENSE#

License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.Īny use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. All Rights Reserved (or such other date of publication of CPT).

Strong attention to detail, record-keeping, and reporting skills.License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth EditionĮnd User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA).

Excellent language and written and verbal communication skills.

Experience with medical record software and hardware.

An in-depth understanding of medical terminology and anatomy.

Compliance with HIPAA confidentiality standards.

Experience in hospital scribing may be advantageous.

Bachelor's degree in a medical field may be advantageous.

Adhering to all ethical, legal, and confidentiality requirements for preparing medical documents.

Editing the physician's medical documents for errors.

Attending training and conferences on a wide range of medical subjects.

Assisting with the development and maintenance of patient tracking systems.

Adding all clinical data, lab reports, and physician interpretations to the medical records and ensuring accuracy.

Ensuring medical documentation is error-free, up-to-date, and signed by the attending physician.

Coordinating referrals, preparing reports, manning the telephones, and performing other clerical tasks.

Preparing referral letters for the physician via dictation or a summary of the patient's medical records.

Entering patient rooms with the physician and documenting medical procedures and visits as they are being performed by the physician.

Ultimately, a top-notch hospital scribe should display good judgment, attention to detail, and initiative.

To be successful as a hospital scribe, you should be discreet and tactful. The responsibilities of the hospital scribe include collaborating with physicians, performing clerical and IT functions for the physician, operating the electronic health records (EHR), and anticipating the physician's needs in a clinical setting. We are looking for a detail-oriented individual to join our team as a hospital scribe.