Company: SB Clinical Practice Management Plan
Posted on: November 24, 2022
Scribe - Stony Brook Surgical Associates, UFPC
Location: Cemtereach, NY
Schedule: Per Diem
Days/Hours: As needed
SUMMARY: This position requires the incumbent to provide clerical
and information technology support for a physician within the
practice. This includes primary responsibility of the operation of
the electronic health records and electronic dictation system.
Job Duties & Essential Functions:
+ Accurately and thoroughly document medical visits and procedures
as they are being performed by the physician, including but not
+ Patient medical history and physical exam
+ Procedures and treatments performed by healthcare professionals,
including nurses and physician assistants.
+ Patient education and explanations of risks and benefits.
+ Physician-dictated diagnoses, prescriptions and instructions for
patient or family members for self-care and follow-up.
+ Identify mistakes or inconsistencies in medical documentation and
check to correct the information in order to reduce errors. All
addenda must be signed off by a physician.
+ Ensure that all clinical data, lab or other test results, the
interpretation of the results by the physician are recorded
accurately in the medical record.
+ Alert physician when chart is incomplete.
+ Comply with specific standards that apply to the style of medical
records and to the legal and ethical requirements for preparing
medical documents and for keeping patient information
+ Attend trainings on diverse subjects such as information
technology, legal, HIPAA and regulatory compliance, billing and
+ Quickly assimilate new knowledge into processes and
+ Proofread and edit all the physician's medical documents for
accuracy, spelling, punctuation, and grammar.
+ Additional duties as assigned.
Required Education & Qualifications:
+ High School Diploma/GED
+ Proficient in typing, spelling, punctuation, grammar, and oral
communication. Must be able to listen to complex medical
information and summarize in a clear, complete, and concise
fashion. Excellent English composition skills required to generate
professional, polished writing at a high rate of production.
+ Understanding of medical terminology, anatomy and physiology,
diagnostic procedures, pharmacology, and treatment assessments to
the extent required to understand and accurately transcribe
+ Must be able to learn and use all functions of electronic medical
record software and transcription software.
+ Must accurately enter data into a database, search for
information, send and receive email and attachments.
+ Must be able to type words and numbers quickly and
+ Must comply with HIPAA confidentiality standards when accessing
or communicating patient information.
+ Good judgment, organizational ability, initiative, attention to
+ Must be proficient in Microsoft Office Word and Excel
+ 1 year of experience as Scribe or Medical Assistant (must have
graduated from an MA program) or in a medical office. Scribe
certification will be considered in lieu of experience or college
coursework as related to position.
+ Bachelor's degree.
+ Ability to type 50-60 words per minute.
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. While performing the duties of
this job, the employee is regularly required to communicate with
patients, staff and medical providers. The employee must be able to
exchange accurate information in these situations. This position is
largely sedentary and requires the employee to remain stationary
for a majority of the day. The responsibilities and tasks outlined
in this job description are not exhaustive and may change as
determined by the needs of CPMP.
In accordance with the New York State Department of Health (DOH)
order that all hospitals and nursing homes "continuously require
all personnel to be fully vaccinated against COVID-19," Candidates
who are not already vaccinated must obtain the first dose of the
vaccine within three (3) calendar days of acceptance of conditional
job offer and must obtain any subsequent doses in accordance with
the vaccine protocol. The order also includes those who may be
affiliated with or interact with employees of a hospital or nursing
home. The order allows for limited medical exemptions with
reasonable accommodations, consistent with applicable law.
CPMP provides equal employment opportunities (EEO) to all employees
and applicants for employment without regard to race, color,
religion, creed, gender, national origin, age, disability, marital
or veteran status, sexual orientation, gender identity or
expression, or any other legally protected status. This policy
applies to all terms and conditions of employment, including
recruiting, hiring, placement, promotion, termination, layoff,
recall and transfer, leaves of absence, compensation and
CPMP expressly prohibits any form of workplace harassment based on
race, color, religion, creed, gender, national origin, age,
disability, marital or veteran status, sexual orientation, gender
identity, or any other legally protected status. Improper
interference with the ability of CPMP's employees to perform their
job duties may result in discipline up to and including
External Company Name: SB Clinical Practice Management
Keywords: SB Clinical Practice Management Plan, Westport , Scribe, Other , Centereach, Connecticut
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