Learn more about working at Beverly Hospital
Medical Scribe, General Surgery - 40 hours/week, day shift
Beverly, Massachusetts
Organization Facility: Beverly Hospital Category: Administrative & Clerical Job ID: JR49200 Date posted: 04/24/2024When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Type:
RegularScheduled Hours:
40Work Shift:
Day (United States of America)Job Description:
The Scribe observes the provider (either virtually or in-person) during patient encounters and performs documentation on the provider’s behalf. Under the direction of the provider, the Scribe enters information into the patient’s electronic or written chart. All documentation is reviewed and/or edited by the provider. It is signed with an attestation by the provider that the scribed chart accurately reflects all work performed by the provider. A Scribe is trained to relieve the provider of clerical duties; thus allowing the provider to focus more directly on clinical care. A Scribe’s role is limited to documentation and efficiency management for the provider. The Scribe is an unlicensed person and exclusively non-clinical. The Scribe does not touch patients and does not engage in any type of patient care.
Essential Duties & Responsibilities including but not limited to:
1. Chart in real-time as the provider assesses and examines the patient
2. Document the history, physical exam, assessment and plan, results, procedures, treatment, and physician consultations
3. Record provider-dictated diagnoses, prescriptions and instructions for patient follow-up
4. Locate and obtain past medical histories, previous charts, past results and studies
5. Transcribe ancillary test results and their interpretations
6. Check on the progress of labs, imaging studies, and other patient data
7. Retrieve and display current and past EKGs and imaging films (e.g. X-rays) for the provider to review and record provider’s interpretation
8. Understand basic ICD-10 documentation requirements
9. Comply with all national and local PHI laws including in HIPAA and HITECH
10. Comply with all Lahey Health and departmental policies and procedures
Minimum Qualifications:
Must have scribing experience
FLSA Status:
Non-ExemptAs a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
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Why join Beth Israel Lahey Health?
If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.
At Beth Israel Lahey Health, we see you for all that you are – your experience and your dreams. Explore our open opportunities and find out why so many have already chosen to join our team.
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