The Specialist Scribe annotates any dictated or written information for the treatment of patients following all local, state, and federal guidelines for documentation into the electronic health record (EHR). The Specialist Scribe is responsible for clearly recording each patient's symptoms, medical history, physical exam, and documenting the diagnosis as well as treatment plans. This positon does not have direct patient care role responsibilities.

Covid-19 Vaccination and Boosters Requirements: All employees are required to be fully vaccinated for COVID-19, including "health-care" required boosters as a condition of employment, subject to limited exemptions. New employees are required to provide proof of being fully vaccinated for COVID-19 and boosted before the first day of employment. If you completed your primary series, received an original booster and it has been more than 2 months from that booster dose - it is recommended, but not required that you receive the Bivalent booster.

• Scribe assists the Provider with documentation of each patient's clearly recording each patient's symptoms, history, physical exam, and documenting the diagnosis as well as treatment plans in the medical record during a clinic visit.
• The scribe accompanies the clinician into the patient examination area, or joins the appointment remotely by telephone, in order to transcribe a history and physical examination as given by the patient and provider.
• The scribe, under the direction of the provider, transcribes and places patient orders, including laboratory tests, radiology tests, and referrals, etc.
• The scribe documents any procedures performed by the provider or nurses in the EHR.
• The scribe transcribes any consultation or discussions with family and/or the provider.
• The scribe completes the patient's chart by transcribing results of any labs, x-rays, or other evaluations. In doing so, the scribe continuously checks on the progress of this data in order to get the patient's workup complete so that the provider is able to make his/her decisions regarding that patient.
• The scribe lists all proper diagnoses as well as any follow up instructions and prescriptions, as dictated by the provider.
• The scribe does not directly assist with patient care. The scribe documents orders generated by the provider.
• The scribe assists the provider and support staff with paperwork, telephone calls, faxing, and chart abstraction and may facilitate communication among the care team.
• The scribe processes portal communications and tasks to appropriate member of the care team or get information from the provider to respond to the patient in a timely way.
• Assists meetings on a regular basis for quality and training purposes.

Education and Experience:

• Bachelor’s degree in medical related field is highly desired.
• High School Diploma or Equivalent (GED) is required.
• Must have at least one year work experience in the medical field.
• Experience with EPIC Electronic Health Records a plus.

• Must be able to communicate effectively in English (able to read, write and speak).
• Fluent in Spanish is required.
• Prior work experience in a Federal Qualified Health Centers (FQHC) a plus.
• Ability to use a computer and work with electronic health records.
• Ability to work in fast pace environment and multi-task work duties.
• Ability to work in team environment.
• High attention to detail.

Physical Requirements and Working Conditions:

• Must be able to lift up to 25 pounds at times.
• Prolonged standing, walking, and prolonged periods sitting at desk and working on a computer.