Medical Scribe - Obstetrics and Gynecology

OakLeaf Clinics - OB/GYN

OakLeaf Clinics - OB/GYN has an exciting opportunity to join our team as a medical scribe for the OB/GYN department.

OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists, and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

Position description

This position is responsible for recording physician interactions with patients and assisting with clerical duties related to medical documentation. Their duties include recording a physician's/clinician's interactions with patients; filling out paperwork, summaries, and referral letters after a visit; and entering data into medical records. 

Responsibilities

• Anticipates physician/clinician needs for patient visits by obtaining internal and external previous medical records and test results
• Ensures that all elements of documentation are complete and accurate
• Enters the patient room with the physician/clinician during patient visits to capture and transcribe medical record documentation in real time using electronic medical record applications
• Documents the physician/clinician's communication with the patient using appropriate medical terms and phrasing
• Prepares (pends) orders, including follow-up testing, lab orders, medication orders, consults and/or referrals, and the associated diagnosis to be connected with those orders
• Documents the correct follow-up instructions and level of service designation based on the physician/clinician's direction
• Assists in data entry from devices or other sources
• Completes medical records for each encounter, ensuring accurate and timely documentation
• Under physician/clinician direction, updates patient history and other pertinent health information in the patient record
• Prepares and sends all documentation for review and approval 

Qualifications

• High school graduate
• Typically requires one year of experience in medical assisting, medical transcription, emergency medical services, patient service, and/or as a health care professional with demonstrated proficiency in medical terminology and technical spelling
• Knowledge of medical terminology, including basic human anatomy, is a plus
• Knowledge of essential elements of documenting a provider-patient encounter, HIPAA compliance, and Centers for Medicare and Medicaid Services requirements
• Excellent communication and interpersonal skills
• Ability to maintain sensitivity and confidentiality for the patient while assisting the physician
• Requires adherence to all policies and procedures, including but not limited to standards for safety, patient service, attendance, punctuality, and personal appearance
• Proficient computer skills, including advanced keyboarding, above-average typing speed, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems
• Ability to effectively multi-task, with excellent prioritization and organization skills
• High attention to detail and accuracy when documenting health information
• Proficient in typing and have strong computer knowledge

Work environment

While performing the duties of this job, the employee regularly works in a clinic setting.

Physical demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; balance; stoop; kneel; crouch; talk; hear; and smell. The employee must be able to sit for 90% of the workday. The employee must be able to lift or move up to 10 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Salary: From $15 an hour
Education: High School
Job Type: Full Time
Experience: 1+ years
Location: 3213 Stein Blvd. • Eau Claire, WI 54703

To apply, please send cover letter and resume to:

Janelle Joas, Human Resources Manager

OakLeaf Clinics
3802 Oakwood Mall Dr, Eau Claire, WI 54701

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