Posted Nov 13, 2021 7 views
- Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
- 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 Prepare referral letters as directed by the physician
- Dictation/faxing/phone calls and clerical tasks. Medical Scribes are asked to prepare referral letters as directed by the physician, via dictation or summary of the medical record.
- Medical Scribe also ensure that letters are mailed or faxed on a daily basis to all physicians involved in a patient’s care, and with all copies of pertinent reports or tests attached.
- You may be asked to research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and other clerical tasks as assigned.
- . Medical Scribes also spot 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.
- Medical Scribes 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.
- Medical Scribes must 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 confidential.
- Medical Scribes collect, organize and catalog data for physician quality reporting system and other quality improvement efforts and format for submission.
- You will assist in developing and maintaining systems to track patient follow up and compliance.
- Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding.
- Quickly assimilate new knowledge into processes and procedures.
- Medical Scribes proofread and edit all the physician’s medical documents for accuracy, spelling, punctuation, and grammar.
Job Details
Cyber System (Pvt) Ltd
Cyber System is a US based organisation, established in 2008, is a leader in customized outsource Software development, Medical Billing, Recruitment solutions, research and human resource services representing clients throughout the world. The core philosophy behind Cyber System is to tackle the business problems and create novel and efficient solutions by utilizing state-of-the-art technology. Cyber System believes in professionalism, business ethics and morality. It aims at long-term relationships based on trust, understanding and good will. Business criteria at Cyber System are many as opposed to profit alone. Here, commitment, sincerity and enthusiasm form the path to professionalism. Effective and regular communication and sanctity of timelines is very important to Cyber System. This leads to the satisfaction of both the Cyber System Team and Cyber System Clients. Aspiring to expand to new sectors, Cyber System aims at rendering its services to many new markets both national and international.
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