Scribe - Maryland Oncology

Works side by side with the Physician bridging clinical skills with information technology to update electronic record, record symptom information as physician interviews patient, and transcribe physician’s medical decision-making in real time.

Profile Summary:

In the exam room, documents the physical examination, clinical impression and plan, as well as other relevant conversation between the patient and physician. Supports and adheres to the US Oncology Compliance Programs, to include the Code of Ethics and Business Standards.

• Accompanies physician into exam room with patient, entering information in electronic medical record regarding patient symptoms and condition as physician interviews patient. Documents physical examination as dictated by physician.
• Transcribes medical decision-making in real time under direction of physician, creating polished patient encounter notes that will also be sent to referring MDs.
• Prints diagnosis specific new patient educational handouts, edits existing handouts and creates new handouts as needed.
• Preps new patient information into appropriate progress note in EMR
• Updates the problem list as applicable to that day’s visit
• Provides patient education/instruction teach-back as directed by Physician within appropriate scope of practice set forth by The Practice and The US Oncology Network
• Initiates patient phone calls as directed by physician, within appropriate scope of practice
• Conducts reviews of online research as requested by physician
• Participates in morning huddle with clinical team, if this is part of physician practice
• Transcribes procedure notes per physician preference
• Navigates the electronic medical record, PACS, and hospital portals.
• Updates electronic record at direction of physician.
• Maintains compassionate presence with patient and family during office encounters.
• Maintains patient confidentiality.
• Formats reports according to established guidelines
• Maintains equipment and work area as directed
• Recognizes and reports unusual circumstances and/or information with possible risk factors to supervisor or dictator

• Personable, effective at multitasking, high regard for excellent customer service, and team orientated.
• Computer proficiency: Microsoft applications.  
• Excellent computer skills (Microsoft Application, iKnowMed (preferred, but not required) Centricity (preferred, but not required).
• Excellent written and verbal communication skills.
• Experience working with physicians and medical assistants.
• Typing proficiency required: 60 word per minute desirable.
• Current CPR certification a plus
• Bachelors Degree or other healthcare related coursework including anatomy, physiology and/or medical terminology preferred.
• Minimum one (1) year applicable experience or graduate from a Scribe training program

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies.   Occasionally lifting files or paper weighing up to 30 pounds.  Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier and other such office equipment.  Requires ability to extend wrists/arms for up to eight hours per day.  Substantial repetitive motion of wrists, hands and fingers.  Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts, and receiving information from dictation equipment.  It is necessary to view and type on computer screens for prolonged periods of time.

Work is performed in an office environment. Involves frequent interaction with staff and physicians.