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Job Description
- Req#: R-101426
Accompanying the clinical provider during patient examinations to transcribe clinician examinations/evaluations, medications, diagnosis(s), and treatment team discussions into the Electronic Medical Record and clinician progress notes in real time as needed by the Physician
Contacting outside Providers to obtain collateral information to use in treatment and discharge planning, scheduling aftercare appointments as needed, in addition to notifying schools about patients’ hospital admissions
Assist facilitating phone calls between those involved in treatment and with insurance companies for reviews and grievances
Have a knowledge-base of DSM and its usage
General knowledge of substance abuse issues
Knowledge of age specific populations
Ability to address cultural diversity and specific patient/family issues
Maintains competence in identified universal core and critical competencies
Attend treatment team meetings to capture patient information
Actively assists attending physician in the scribing of patient notes
Display excellence in customer service skills, returning all phone calls from internal staff members and external customers (i.e. medical advocate, schools, referral sources, etc.) within 24 hours
Assist the Provider in navigating the Electronic Health Record (EHR)/Chart Serve as a point of contact and coordinate phone calls between physician and families, insurance companies and other providers in addition to checking messages for clinician throughout the day
Locate information for review (i.e., previous notes, reports, test results, and laboratory results); Enter information into the chart/EHR as directed by the Provider
Research information as requested by the Provider. Actively assists attending physician in the scribing of patient notes
Accompany clinical provider during patient examinations/evaluations to transcribe examinations/evaluations and other orders to the Electronic Medical Record in real time as needed by the Physician
Records diagnoses and assist in preparing discharge and/or follow-up instructions as dictated by the clinical provider
Verifies the chart as needed for an appropriate coding level to ensure it has been documented correctly for the designated ICD-9 and CPT code
Checking messages for Physicians throughout the day
2-4 years of undergraduate education with emphasis in behavioral health or pre-medical studies required
2 years experience working in a behavioral health environment preferred
Must have a passion for medicine, psychology, or social work and a desire to assist patients with Behavioral Health concerns
Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job
Strong written and verbal communication skills
Ability to actively listen
Ability to observe and to draft a narrative account of events accurately and cogently, in grammatically-correct English
Ability to spell proofread and edit written text
Keyboard proficiency
Ability to operate a personal computer and related software applications
Strong attention to detail
Ability to work in a dynamic, highly-stressful environment that routinely involves exposure to highly-sensitive personal behavioral health/medical issues
Ability to be adaptable and be willing to take constructive criticism
Ability to coordinate multiple projects and patients
Ability to prioritize
Ability to problem solve under pressure
Ability to communicate and interact professionally with others
Understanding of and commitment to appropriate protection of confidential patient information
Commitment to high professional ethical standards
Compliance with Department Health and Safety policies and procedures
40-hour work week, hours and days to be determined by the business needs of the department. Additional Hours may be required
About Us:
Serving one million patients and their families annually. Advancing medical knowledge, technologies and practices. Developing and educating the next generation of exceptional health care professionals.
With more than 100 locations in hospital-based clinics, outpatient health and specialty care centers, we provide the most advanced medicine and thoughtful, patient-centric care to the greater metro-Detroit community.
Job Summary:
The Medical Scribe is responsible for accurately documenting the patient-provider encounter. This is an in-person scribe position in an inpatient (hospital) setting, and in-person or virtual outpatient setting.
Inpatient setting: the Behavioral Health Scribe rounds with a Psychiatric MD and mid-level Providers and documents the encounter in the hospital based EMR system or paper chart.
Outpatient Setting: Works to facilitate patient flow and ensure an accurate and complete medical record for each patient as directed by the Provider/Physician.Job Description:
Essential Duties and Responsibilities:
Education, Licensure/Certification, and Training:
Skills and Abilities:
Safety Requirements:
Working Conditions/Schedule:
Wayne Health is an EEO/AA/Veteran/Disability Employer
About the company
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