Carolinas Center For Oral & Facial Surgery
About the Role:
The Medical Scribe plays a critical role in supporting healthcare providers by accurately documenting patient encounters in real-time, ensuring comprehensive and precise medical records. This position directly contributes to enhancing the efficiency of clinical workflows, allowing providers to focus more on patient care rather than administrative tasks. The Medical Scribe must have a strong understanding of medical terminology, clinical procedures, and electronic health record (EHR) systems to capture detailed and accurate information. By maintaining thorough and organized documentation, the scribe helps improve communication among healthcare teams and supports compliance with legal and regulatory standards. Ultimately, this role is essential in facilitating high-quality patient care and optimizing the overall healthcare delivery process in the Cherrydale area.
Minimum Qualifications:
Skills:
The required skills such as medical terminology knowledge and proficiency with EHR systems are essential for accurately capturing and documenting patient information during clinical encounters. Attention to detail ensures that all records are precise and complete, which is critical for patient safety and legal compliance. Strong written communication skills enable the scribe to clearly and effectively transcribe complex medical information. Preferred skills like familiarity with medical coding and prior clinical experience enhance the scribe's ability to understand the context of patient care and anticipate provider needs. Interpersonal skills facilitate smooth collaboration with healthcare teams, ensuring that documentation supports efficient and high-quality patient care.
The Medical Scribe plays a critical role in supporting healthcare providers by accurately documenting patient encounters in real-time, ensuring comprehensive and precise medical records. This position directly contributes to enhancing the efficiency of clinical workflows, allowing providers to focus more on patient care rather than administrative tasks. The Medical Scribe must have a strong understanding of medical terminology, clinical procedures, and electronic health record (EHR) systems to capture detailed and accurate information. By maintaining thorough and organized documentation, the scribe helps improve communication among healthcare teams and supports compliance with legal and regulatory standards. Ultimately, this role is essential in facilitating high-quality patient care and optimizing the overall healthcare delivery process in the Cherrydale area.
Minimum Qualifications:
- High school diploma or equivalent required; some college coursework in health sciences or related field preferred.
- Basic knowledge of medical terminology and anatomy.
- Proficiency with computers and familiarity with electronic health record (EHR) systems.
- Strong attention to detail and excellent written communication skills.
- Ability to maintain patient confidentiality and comply with HIPAA regulations.
- Previous experience as a medical scribe or in a clinical healthcare setting.
- Certification as a Medical Scribe Specialist (CMSS) or similar credential.
- Familiarity with medical coding and billing processes.
- Ability to multitask and work efficiently in a fast-paced clinical environment.
- Strong interpersonal skills to effectively collaborate with healthcare providers and staff.
- Accompany healthcare providers during patient visits to document history, physical exams, procedures, and other relevant information in the EHR system.
- Ensure all medical records are complete, accurate, and entered in a timely manner to support clinical decision-making and billing processes.
- Collaborate closely with physicians, nurses, and other healthcare staff to clarify information and ensure documentation reflects the patient encounter accurately.
- Maintain confidentiality and adhere to HIPAA regulations and institutional policies regarding patient information.
- Assist in managing and organizing patient charts and other clinical documentation as needed to support efficient clinical operations.
Skills:
The required skills such as medical terminology knowledge and proficiency with EHR systems are essential for accurately capturing and documenting patient information during clinical encounters. Attention to detail ensures that all records are precise and complete, which is critical for patient safety and legal compliance. Strong written communication skills enable the scribe to clearly and effectively transcribe complex medical information. Preferred skills like familiarity with medical coding and prior clinical experience enhance the scribe's ability to understand the context of patient care and anticipate provider needs. Interpersonal skills facilitate smooth collaboration with healthcare teams, ensuring that documentation supports efficient and high-quality patient care.