• Job Description

  Req#: 5469

  Medical Scribe

  1660 Precision Park Ln, San Diego, CA 92173, USA Req #5469

  Monday, January 13, 2025

  Position Summary:
  The primary responsibilities of the Medical Scribe are to document all relevant dictated or written information for the treatment of patients into the electronic health record. Medical Scribes will be responsible for clearly recording each patient's symptoms, history, physical exam, documenting the diagnoses, and treatment plans as dictated by the clinician while abiding by all local, state, and federal guidelines for documentation into electronic medical records. The Medical Scribe is not a direct patient care role.

  Essential Functions of the Job:

  • The Medical Scribe accompanies the clinician into the patient examination area in order to transcribe a patient history and physical examination.

  • Under the direction of the clinician, transcribes patient orders, including laboratory tests, radiology tests, referrals, etc.

  • Documents any procedures performed by the clinician or nurses.

  • Transcribes any consultations and/or discussions with family.

  • Lists all proper diagnoses as well as any follow up instructions as dictated by the clinician.

  • Assists the clinician in reviewing and transcribing prior internal and external medical records.

  • At the end of the patient encounter or shift, provides the scribed documentation for the clinician to review to ensure all events were recorded accurately.

  • Make recommendations for continued process improvement to the Scribe Manager.

  Prohibited Scope of Service:

  • Patient Care: The scribe is not directly involved with patient care; however, he/she may be asked to give patient paperwork during visit or discuss discharge instructions with a patient. The scribes’ direct interaction with patients is limited.

  • General Documentation: A scribe cannot document any of his/her personal objective findings or be involved in any of the medical decision-making. A scribe cannot act independently; instead, he/she must simply document the physician's dictation and or/activities during the visit.

  Additional Duties and Responsibilities:

  • Maintains confidentiality of all patient and employee information and adheres to all HIPAA requirements.

  • Informs supervisor of matters of general interest and problem areas determined or discovered.

  • Attends all SYHealth mandatory meetings and other meetings as requested.

  • Demonstrates openness to organizational and/or departmental changes.

  • Personally commits to advancing a customer request or correcting customer service problems and does so undefensively.

  • Remains engaged in their work.

  • Understands and adheres to all SYHealth policies and procedures.

  • Adheres to and consistently demonstrates SYHealth’s Core Values of Respect, Excellence, Empowerment and Integrity.

  Job Requirements

  Education Required (Minimum level of education):

  • High School diploma or equivalent is required.
  • A strong academic history required.
  • Successful completion of any relevant additional college-level courses is preferred, i.e. medical terminology, anatomy, physiology, etc.
    

  Experience Required (Minimum level of experience):

  • Strong written and verbal skills in the English language are required.
  • Proficiency in the Spanish language is preferred.
  • Strong computer skills are required.
  • 45wpm typing speed required. 50+wpm preferred.
  • 6 months to 1 year of Medical Scribe experience preferred.
  • Candidates with experience in the medical field are preferred.

  Verbal and Written Skills Required to Perform the Job:

  • Strong written and verbal skills in the English language are required.

  Working Conditions and Physical Requirements:

  • May need to work weekends and extended hours.
  • Considerable keyboarding
  • Long periods of sitting, walking, and standing.
    
  • Local driving and travel may be required.
    
    

  ***Compensation will be analyzed after Hiring Manager interview have been completed. Specific pay rate will be calculated on two factors: Years of relevant experience in role, and internal equity.Please note the maximum end of pay range is reserved for candidates with 15+ years of experience.
  
  About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.

  Other details

  • Pay Type Hourly
  • Min Hiring Rate $22.39
  • Max Hiring Rate $29.45

  Apply Now

• About the company

  The mission of the San Ysidro Health Center (SYHC) is “to improve the health and well-being of our community’s traditionally underserved and culturally diverse people.” SYHC is committed to providing the highest quality, compassionate, easily accessib...

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