Outpatient Clinical Documentation Specialist - Scribe

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide.
 

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships.

The Scribe accompanies the physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician’s encounter with the patient and others present. The Scribe lists all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician. They also transcribe patient orders including laboratory tests, radiology tests, medications, etc. and document any procedures performed by the physician.

All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities:  

• Prepares and assembles medical record documentation/charts for physician(s).

• Enters the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.

• Ensures medical record compliance by self-documentation attestation.

• Updates patient history, physical exam, and other pertinent health information in the patient chart.

• Prepares and sends all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures.

• Complies with hospital and medical facility policies, including those relating to HIPAA and Joint Commission.

• Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.

Required Education, Experience and Credentials:

• High school diploma, GED, or equivalent

• Knowledge of medical terminology and human anatomy a plus

• Skilled in operating various medical record software and hardware, word-processing, and database software programs

Required Knowledge, Skills and Abilities:

• Administrative writing skills

• Reporting skills

• Organizational skills

• Record-keeping

• Microsoft Office skills

• Professionalism, confidentiality, and organization

• Typing

• Verbal Communication

The hourly rate for this position generally ranges between $18.29-$23.47 Per Hour

This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. 

If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the “Jobs Hub”.