A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Notice I said decent..not fantastic, dream, etc. I planned on working for any money I got. I've been an MT for a while, we DO work for our money. I don't know who started the rumor we don't and need to get less because the consensus is now an idiot can do the job. Maybe that's how you get the medical records that the doctors, themselves, cannot decipher or make sense of without (wait for it) guessing. (I think we've all sailed in that boat the SS Your-Guess-Is-As-Good-As-Mine). Anyhoo. The medical scribes are attacking again.
I found this ad for a local hospital corporate conglomerate clinic thing
First it's not scribe it's medical assistant and after the blah, blah, about their corporate mission, how wonderful they are, and patient satisfaction being 98%, they finally get to the job description and here it is...
The person in this position will be acting as a medical scribe. The medical scribe performs all clerical and information technology functions for a physician in a clinic setting. This includes primary responsibility of the operation of the electronic health records and electronic dictation system. Must be able anticipate physician needs to facilitate the flow of clinic, and must be discreet, tactful, and modest in performance of duties so as not to distract medical staff from patient care. Will accurately and thoroughly document medical visits and procedures as they are being performed by the physician. This individual may also prepare referral letters as directed by the physician, via dictation or summary of the medical record, and ensure that letters are mailed or faxed on a daily basis to all physicians involved in a patient’s care, and with all copies of pertinent reports or tests attached. May be asked to research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and other clerical tasks as assigned. Must be able to spot mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. Will ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record, and will alert physician when chart is incomplete. Must comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential. May attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding.
Requirements:
Must be a registered or certifed MA. A high school diploma or GED is required. Need the ability to write routine reports and correspondence. Must be proficient in typing and good at spelling, punctuation, grammar, and oral communication. Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills are required to generate professional, polished writing at a high rate of production. Handwriting must be clear and legible. Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports. Translate medical abbreviations into their expanded forms. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Have the ability to refer to reference materials to solve problems. Should be able to learn and use all functions of electronic medical record software and transcription software. Must accurately enter data into a database, search for information. Must be able to type words and numbers quickly and accurately; must comply with HIPAA confidentiality standards when accessing or communicating patient information. Need someone with orthopedic experience who is familiar with the terminology and general knowledge of orthopedics.