Job Details

Documents defined visit elements in a patient's electronic health record on behalf of a practitioner while being physically present in the room with the practitioner. Documents or records the visit elements exactly as stated by the practitioner without interjecting his or her own observations or impressions. Captures accurate and detailed documentation (handwritten, electronic, or otherwise) of the encounter in a timely manner. Assists the practitioner in navigating the medial record. Responds to various messages as directed by the practitioner. Locates information for review (es: previous notes, reports, test results, and lab results)Documents information into the medical record as directed by the practitioner. Enters information in the electronic health record such as patient history, system review and physical examination, vital signs, procedures and treatments performed by the practitioner, care plan and medication lists, progress of lab, x-ray or other patient evaluation data, and...Medical, Scribe, Health, Practitioner, Healthcare, Electronic