Job Description

POSITION SUMMARY:
The duties of a Medical Scribe are to document the dictated patient history, physical examination, family, social, and patient medical histories as well as document procedures, lab results, dictated radiographic impressions and any other information pertaining to the patient’s encounter in the clinic. The scribe will also perform duties of the Medical Assistant to include measuring and recording vital signs, preparing patients for examinations, cleaning exam rooms, and requesting medical records.

The essential functions include, but are not limited to the following:

• Assigned to work with one provider, but may be required to cover for another scribe, as needed. 
• Accompany the provider upon patient interview and examination.
• Document the dictated history, including history of present illness, review of systems, past medical and surgical histories, family and social histories, medications and allergies. 
• Document physical examination findings and procedures as performed by the provider. 
• Document the results of laboratory and radiographic studies as dictated by the provider. 
• Document the correct time of patient care related activities, including provider to provider communication, family communication and re-examination of the patient. 
• Obtain test results and medical records as requested by the provider. 
• Measure and record vital signs. 
• Clean exam rooms. 
• Other duties as assigned within scope of practice. 

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES):

• High School Diploma 
• Completion of Medical Assistant Program 
• Some College Preferred 
• One year of experience as a Medical Assistant preferred. 
• Bilingual required. 
• Typing speed of 55+ WPM required.

PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. The noise level in the work environment is usually moderate 

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