Description
The Medical Scribe will assist physicians with various administrative aspects of patient care in their respective department. Under the direction of physicians, these administrative aspects include assisting with recording the physician medical record documentation (electronic or paper) of patient history, review of systems, physical exam findings, progress notes, procedure notes, follow-up of laboratory and diagnostic results, expediting consults, and assisting with recording the documentation for patient care and follow up. Medical Scribes will work in close association with physicians assigned to the department and will be part of the medicine team. Medical Scribes may also participate in monitoring the completion of physician medical record documentation to assess for charts completeness and will send incomplete charts back to appropriate physicians as needed.