Medical Scribe-Health Information Management

Responsibilities

• Accompany physicians during patient visits to document real‑time interactions and medical information directly into electronic health records
• Prepare and assemble medical record documentation and charts for the physician before and after patient encounters
• Accurately transcribe patient histories, physical examinations, procedures, lab results, and physician observations as dictated during the visit
• Ensure transcription of all medical reports, e.g. discharge summaries, operative reports, cardiology reports, electroencephalogram (EEG) reports, pathology reports, medical evaluations, history and physical reports, consultation notes, progress notes and other medico‑legal documents as necessary in an accurate and timely manner to document patient care
• Apply knowledge of medical terminology, pharmacology, anatomy, physiology, disease processes, signs and symptoms, laboratory values related to a specialty or specialties,...