Scribe Job at Aya Healthcare, Cedar Rapids, IA

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  • Aya Healthcare
  • Cedar Rapids, IA

Job Description

Clinical Scribe Position

External applicants earn up to $5000 sign on bonus! Work shift day/evening scheduled weekly hours 40. This position supports Mercys philosophy of patient centered care by facilitating the delivery of health care services by providing knowledgeable support to the physician or provider in all aspects of patient care. This includes all interactions with patients and their families in person during the clinic visit, telephonically, and electronically. In addition, this position provides real-time charting ensuring an accurate and completed medical record for each patient visit.

Job duties include preparing the progress note for the patient visit by manually bringing in provider-built EPIC documentation tools for the following sections: history of present illness, review of system, physical exam, assessment, and plan. Ensures health maintenance section (including quality reporting measures) and immunizations are up to date. Rooms and prepares the patient for examination. This includes reviewing histories, allergies, medications, reason for visit, and taking vitals. Per established standing orders of provider, orders/administers injections, orders/collects specimens for lab testing (ex. Rapid strep tests), and performs phlebotomy as needed. Provides test results as directed by Provider. Populates patient-reported information into provider-built EPIC documentation tools for the specific disease states and preventative visits. Communicates a summary of the patient-reported information to the provider prior to entry of the room or within the room with the patient present. Accurately and thoroughly documents the encounter with the patient as it is being performed by the provider which may include documentation in the following sections: problem list, history of present illness, review of systems, physical exam, assessment and plan, procedures and treatments performed by team, patient education, orders, medications, referrals, explanations of risks and benefits, and instructions for self-care and follow-up. Identify the portions of the encounter that were scribed on behalf of the provider using the scribe signature per policy. Provides patient instruction using pre-approved patient education materials specific to the chief complaint or for the health promotion of observed behaviors known to contribute to poor health as directed by the provider. Prints after visit summary and completes discharge of patient from exam room. This may include scheduling a follow-up appointment, providing referral information, or scheduling patients for testing procedures and providing instructions. Manages phone calls to patients regarding test/lab results and provides appropriate instruction for treatment as directed by the provider. Processes medication requests/changes/refills per established written protocols. This includes having knowledge of medications including basic dosages, side effects, and interactions. Provides assistance with diagnostic procedures (ex. EKGs) and treatments (ex. Nebulizer treatments) as directed by the provider. This includes obtaining specimens, labeling, and disposition to the laboratory and explaining diagnostic procedures to patient as needed. Prepares the exam and treatment rooms including instrument supplies and protective devices for exam and testing. Performs other duties as assigned. Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents, and injuries.

Knowledge, Skills, and Abilities

Working knowledge of medical terminology, anatomy & physiology, pharmacology, treatment assessments, and accepted abbreviations. Recognition of physical exam process and ability to record exam details. Computer proficiency including keyboarding, Microsoft Office, and Electronic Medical Record. Proficient in typing, spelling, punctuation, and grammar. Organization skills with focus on tracking patient care and improving patient flow. Professional demeanor and recognition of privacy considerations for patients and families. Familiar with other office equipment including fax machine, phone, and copy machines. Must have the ability to refer to reference materials to solve problems. Ability to apply logic and draw conclusions based on knowledge.

Professional Experience

Preferred: Three to five years relevant experience. Required: Successfully completed clinic transformation with assigned provider to include scribe training or go-live support or hired directly into a provider area that has already implemented clinic transformation. The LPN will be trained as a Clinical Scribe immediately upon hire.

Education

Education sufficient to obtain required licensure or Certified Medical Assistant certification.

Licensure

Currently licensed to practice as a Licensed Practical Nurse/Registered Nurse in the state of Iowa required or Certified Medical Assistant. Current certification in Basic Life Support (BLS) in accordance with the American Heart Association required. Iowa Dependent Adult Abuse & Iowa Child Abuse Mandatory Reporter training required. Employee must submit certification of completed training to Human Resources prior to start or transfer date.

Pay Rate Type

Hourly. Mercy is an independent community-based organization supporting the Cedar Rapids area for over 120 years. Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.

Aya Healthcare

Job Tags

Hourly pay, Work at office, Immediate start, Relocation package, Shift work, Afternoon shift,

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