Job Description

Purpose of the Scribe/Medical Writer:
This individual is responsible for providing accurate documentation and summarization of the office visits and recommendations in the context of a patient chart while maintaining patient flow and communication regarding appointment status.

Responsibilities:

• Performs other duties as assigned, including but not limited to, answering phones, scanning, abstracting, checking patients in and out, helping with work questsions, etc.
• Remains as close to physician as possible and limits time away from the physician and the patient.
• At times, guides patient to front desk after completion of exam and ensures proper follow-up appointments are made.
• Provides patient with assistants while they are exiting the exam room to expedite patient flow.
• Monitors examination room and any physical limitations that the patient may have
• Evaluates the condition of the exam room to ensure adequate supplies are in stock.
• Correctly summarizes and documents what the physician says during an examination, including but not limited to: proper charting of the examination, documenting additions to the chief complaint, assessment and recommendations for treatment (including justifications of decisions reached when appropriate).
• Learns the personality and preferences of each physician, recognizing differences and abiding by them when working with each particular physician.
• Accommodates the needs of the patient for the exam.
• Notifies physician of changes to the daily schedule, especially emergencies
• Enter charge information as designated by the physician
• Maintains an awareness of the patient’s verbal and non-verbal communication when the physician is providing instructions as it may necessitate the writer repeating information, providing written instructions, and/or patient educations materials for the patient to review at home.
• Becomes fluent in the exact requirements of each examination.

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