Scribe/Medical Writer @ UPMC Foot And Ankle

Purpose:

This individual is responsible for providing accurate documentation and summarization of the office visits and recommendations in the context of a patient chart while maintaining patient flow and communication regarding appointment status.

Responsibilities:

• Performs other duties as assigned, including but not limited to, answering phones, scanning, abstracting, checking patients in and out, helping with work ques, etc.

• Remains as close to physician as possible and limits time away from the physician and the patient.

• At times, guides patient to front desk after completion of exam and ensures proper follow-up appointments are made.

• Provides patient with assistants while they are exiting the exam room to expedite patient flow.

• Monitors examination room and any physical limitations that the patient may have

• Evaluates the condition of the exam room to ensure adequate supplies are in stock.

• Correctly summarizes and documents what the physician says during an examination, including but not limited to: proper charting of the examination, documenting additions to the chief complaint, assessment and recommendations for treatment (including justifications of decisions reached when appropriate).

• Learns the personality and preferences of each physician, recognizing differences and abiding by them when working with each particular physician.

• Accommodates the needs of the patient for the exam.

• Notifies physician of changes to the daily schedule, especially emergencies

• Enter charge information as designated by the physician

• Maintains an awareness of the patient's verbal and non-verbal communication when the physician is providing instructions as it may necessitate the writer repeating information, providing written instructions, and/or patient educations materials for the patient to review at home.

• Becomes fluent in the exact requirements of each examination.

• Fluency in English

• High School Diploma and 4 years experience in a medical office, medical transcription or billing/coding required OR Associates degree or equivalent, and two years experience in a medical office, medical transcription or billing/coding required.

• Basic of knowledge ICD-10 coding. Licensure, Certifications, and Clearances:

• CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire

• Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)

• Cardiopulmonary Resuscitation (CPR)

• Act 31 Child Abuse Reporting with renewal

• Act 33 with renewal

• Act 34 with renewal

• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran