A medical scribe is a physician collaborator who fulfills the primary clerical and non-medical functions of the busy physician or practitioner. The primary function of a medical scribe professional is the creation and maintenance of the patient’s medical record, which is created under the supervision of the attending physician. The scribe will document the patient’s story, the physician’s interaction with the patient, the procedures performed, the results of laboratory studies, and other pertinent information. Additional functions of a scribe may include ordering laboratory/radiology studies, assisting with the patient’s disposition, documenting consultations, and notifying the physician when important studies are completed. The advantage of having medical office training helps when you’re expected to assist providers with administrative tasks such as handling phone calls, retrieving lab results, and other duties as needed to improve efficiency and productivity. You’ll likely also become an asset to your medical office team with your broad knowledge base and ability to assist in many departments.

• Develop a strong foundation in medical terminology, disease processes, anatomy, and physiology to effectively support clinical documentation and administrative tasks within a healthcare setting.

• Adhere to healthcare laws, ethical standards, and regulatory requirements, including the Omnibus Rule, HIPAA, and HITECH, to ensure patient privacy, data security, and professional integrity.
• Exhibit precision and accuracy when managing and documenting information within electronic health record (EHR) systems.
• Explain patient scheduling processes and perform related tasks, including provider scheduling, intake procedures, and preparation of medical records.
• Develop an understanding of laboratory testing and pharmacology as they apply to Electronic Health Records (EHR) systems.
• Explain the role of medical coding in clinic operations and how it directly affects workflow efficiency and the revenue cycle.