Site: Massachusetts Eye and Ear Associates, Inc.
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.
Job Summary
Responsible for clerical and information technology functions for and under the direction of a provider in a practice/setting. This includes primary responsibility of the operation of the electronic health records (EHR) and electronic dictation system.
Does this position require Patient Care? No
Essential Functions
-Works to facilitate patient flow and ensure an accurate and complete medical record for each patient.
-Accompanies provider into the patient examination room in order to transcribe a history and physical exam, and accurately document the provider's encounter with the patient and others present following established guidelines for documentation.
-Lists all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
-Scribes document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies during the visit exam.
-Documents all procedures performed by the physician.
-Scribes document physical examination findings and procedures as performed by the physician.
-Scribes document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
-Scribes may que up orders for the physician to authenticate and initiate. All orders for patient care must be communicated by the physician and not the scribe.
-Scribes do not participate in any patient care and should refer all requests related to patient care to the responsible physician or nursing staff; including, but not limited to transporting specimens, answering phones, assisting patients, calling physicians, etc.
-Assists the provider with all clerical activities related to the Electronic Health Record (EHR) to help support workflow and documentation for medical record coding.
-Ensures good teamwork and effective interpersonal relationships.
Qualifications
Education
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