Job Description

The salary range for this position is $16.76 - $25.98 (Hourly Rate)

Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.

Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Benefits:

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year ($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Description

The Medical Scribe reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

• Observes and accurately enters details and decisions from practitioner-patient encounters directly into the (EHR) electronic health record on behalf of the Provider.

Responsibilities:

Is present during clinical services and accurately documents information, conversations and activity into the EHR in real time, under the direct supervision of the Provider.

• Identifies/Introduces self and role of Scribe to patient and/or family.
• Accompanies provider during patient interviews and examinations.
• Records pertinent positive and negative findings in patient history and physical examination including history of present illness, past medical/surgical history, social history, review of systems, medications, allergies and family history.
• Records procedures, Provider review of lab tests, Provider review and impression of diagnostic images and/or review of official radiologist interpretations.
• May record time of patient care activities including Provider-to-Provider communication, family communication and re-examination of the patient.
• Assists with preparation of paperwork for disposition of patients from clinic setting.
• Helps increase Provider productivity and workflow by performing a variety of non-clinical tasks including:
  • Assisting the Provider(s) in navigating the EHR.
  • Researching information requested by the Provider.
  • May locate information for review (i.e., previous notes, reports, test results, and laboratory results).
• Complies with all NMHC policies, including those relating to confidentiality of patient information, and all local, State and Federal guidelines for documentation, confidentiality and privacy (HIPAA).
• Ensures documentation in the EMR includes a statement that “Document has been prepared at the direction and in conjunction with Provider” along with the along with the Scribe’s name and title, and that the Provider has included an attestation regarding the accuracy of the note.
• Generates and prints patient plan with scribe name on bottom.
• Scribes are prohibited from participating in any clinical care (must refer all requests related to patient care to the responsible Physician or Nursing staff), interjecting own feelings, observations or impressions into the documentation, dictating reports, entering/writing prescriptions, using Provider’s log-in or passwords, or performing hospital duties.
• All other duties as assigned.

Qualifications

Required:

• High School Diploma or equivalent.
• Proficient in medical terminology and basic coding knowledge.
• Strong written and verbal communication skills; Ability to communicate and interact professionally with others.
• Strong attention to detail.
• Ability to actively listen and observe.
• Keyboard proficiency and the ability to operate a personal computer and related software applications.
• Ability to multi-task and work in a dynamic, highly-stressful environment that routinely involves exposure to highly-sensitive personal medical issues.
• Ability to problem solve under pressure.
• Understanding of and commitment to appropriate protection of confidential patient information.

Preferred:

• 2 years of experience working as a Medical Scribe.
• Medical Scribe certification through a vocational school, community college or university.
• Bachelor’s degree

Equal Opportunity

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our  Benefits section to learn more.

Job Tags

Hourly pay, Full time, Part time, Work experience placement, Local area, Flexible hours,

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