Bilingual Medical Scribe

Bilingual Medical Scribe

Hours: M-F 8-5 (OT Potential)

Type: CTH (800 hours) or Direct-Hire potential

Location: 78745

Qualifications: Bilingual in Spanish and English, clinical background, EMR experience

Pay: $20.67 - $26.44/hour

Responsibilities:

• Patient Encounter Documentation: Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time.
• EHR Management: Navigate and proficiently utilize electronic health record (EHR) systems to input and manage patient data, ensuring that all documentation adheres to compliance and confidentiality standards.
• Chart Review: Regularly review and organize patient charts, ensuring completeness and accuracy of information, and addressing inconsistencies or discrepancies.
• Effective Communication: Act as a liaison between healthcare providers and other team members, facilitating the exchange of important information, requests, and follow-up instructions.
• Data Entry and Coding: Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services provided during patient encounters.
• Liaison for Documentation Queries: Serve as a liaison between the coding team and providers to ensure the timely resolution of documentation queries.
• Morning Huddle Preparation: Conduct thorough research of patients' historical charts and external data to enhance the morning huddle presentation.
• Quality Metrics Management: Oversee measurement, analysis, and reporting of healthcare quality metrics. Identify and close gaps in care to ensure optimal outcomes.
• Population Health Optimization: Analyze population health and coding strategies to enhance patient stratification, identifying at-risk patients and assisting in enrolling them in chronic care management protocols.
• Evidence-Based Research: Stay updated on evidence-based medical protocols and provide revised data to the care team.
• Maintain Confidentiality: Adhere to strict patient privacy and confidentiality regulations (e.g., HIPAA) and ensure that all patient data is handled with the utmost discretion.