Medical Scribe

Primary Responsibilities and Essential Functions:

• Responsible for data entry into the Electronic Medical Record per provider instructions.
• Record a physician-directed patient history of present illness (HPI), past medical history (PMH), family and/or social history and physical examination (PE), including pertinent positives and negatives. Ensures transcription of handwritten or electronic physician notes, including but not limited to: verbal communication from the physician, patient/doctor interactions, physical exam findings, medical decision-making, medication orders, laboratory results, radiological reports, clinical reevaluations, consultations and dispositions.
• Record procedures and the results of laboratory tests and radiographic images.
• Improve the efficiency of patient care by assisting the physician with routine matters.
• Serve as an ambassador/liaison between the physician, the patient and the staff.
• Assumes responsibility for other non-clinical assignments such as obtaining old medical records, and locating previous studies.
• Assists with front office duties.
• Answers telephones, forwards telephone messages and under the direction of licensed staff schedules appointments, procedures and diagnostic tests.
• Assists in routine clerical functions such as filing of medical information in patient's records, locating and compiling department charts, obtaining medical records from other providers and entering charges for billing purposes.
• Assists with back office duties when not directly assisting the physician with a patient.
• Prepares patients to be seen by physicians.
• Obtains vital signs and testing as required by the healthcare provider.
• Assists provider with collection, documentation, processing, and verification of information related to patient care in an EMR system.
• Keeps patients informed of wait times and manages visit expectations.
• Maintains cleanliness of clinic areas, exam rooms and medical implements before and after patient use.
• Responsible to set up exam rooms and stock with up to date required supplies for patient care.
• Facilitates timely closing of clinic and follows closing procedures.
• Communicates patient concerns and needs to the healthcare provider timely.
• Completes assigned training and education as required and timely.
• Abides by all applicable Steward Policies and procedures including, but not limited to, safety matters, HIPAA-compliance and patient/computer confidentiality.
• Performs other duties as determined by the Practice Manager or Clinic Director.

Minimum Qualifications and Experience:

• High school diploma or equivalent.
• Previous experience as a Physician Document Assistant preferred.
• Basic knowledge of medical terminology.
• Preferred candidate would be a medical student, nursing student, paramedic student, medical assistant, EMT or CNA.
• Ability to maintain strict confidentiality/HIPAA confidentiality required.

This position is subject to the COVID-19 Vaccination Policy for Steward Health Care Workforce. Employees in this position will be required to provide adequate proof of vaccination for COVID-19 by an FDA-approved vaccine prior to starting work. Steward will consider requests for exemptions from this vaccine requirement on the basis of medical condition or sincerely held religious belief in accordance with applicable Federal laws.

Additional Information

Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment with confidence and without fear.

Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.

1. Any COVID-19 related care takes place in designated areas away from other patients and their families.
2. A stringent cleaning policy has been implemented throughout our facilities.
3. A strictly controlled visitor and mask policy is required for patient and colleague safety.

Steward Health Care is an Equal Employment Opportunity (EEO) employer, Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

About Steward Health Care System:

Steward Health Cares physician-led model was created to provide patients access to the highest-quality care at a sustainable cost, providing personalized, and coordinated ongoing medical services that positively impact patients physical, emotional, and mental well-being.

Founded in 2010, Steward Health Care is the nations largest accountable care organization (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through its network of hospitals, urgent care centers, skilled nursing facilities, and behavioral health services. Steward received a perfect 100% quality rating by the Center for Medicare and Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) in 2020.

Based in Dallas, Steward is the largest private, physician-led health care network and currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah. For more information, visit www.steward.org.