PN Scribe
aa2itFort Worth (TX)
About the role
PN Scribe Functions in collaborative practice with physician(s), physician assistant(s), and/or nurse practitioner(s) in a CCPN clinic/practice setting. Functions under the direct supervision of the provider, assisting the physician with the complete documentation in the patients electronic medical record. Skillfully and consistently performs daily clinical duties per established policy and procedure with team-orientation and with an emphasis on good customer relations and sound clinical judgment.
Job Responsibilities:
Consistently display respect and courtesy in all patient/family interactions. Consistently follows documentation compliance standards. Assists practice staff with transferring paper records into the EMR.Monitors all scribed encounters for completeness and provider review. Identifies mistakes or inconsistencies in medical reports and works with provider to correct. Monitors physician in-box, notifying physician of any urgent/emergent items. Monitors tickler logs for lab results, referrals and missed appointments. Accompanies physician on all patient visits, consistently documenting in real time in the EMR all pertinent physician findings as directed by the physician. This will include documentation of the physical exam, results/interpretation, assessment/plan including orders, letters, and billing tab for review by the attending physician.
Required Skills & Experience:
One (1) year medical transcription or related experience. Knowledge of Medical terminology. Knowledge of Computer Basics.
Required Education: High School Diploma or GED
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