• Capturing and transcribing medical record documentation
• Documenting procedures completed and recording diagnostic test results, diagnoses, treatment plans, prescriptions, and discharge and follow-up information
• Ensuring medical record compliance by self-documentation attestation
• Providing administrative support, which includes (data entry, appointment scheduling, email management, record management, and time-keeping)
• Establishing a professional relationship with medical professionals and patients
• Acting as a primary liaison between patients and providers
• Strict adherence to and compliance with the HIPAA policy

Skills: Medical Transcription, Procedure Documentation, Diagnostic Recording, Compliance Attestation, Administrative Support, Patient Relations, Provider Liaison, HIPAA Compliance

• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician
• Patient medical history and physical exam,
• Procedures and treatments performed by healthcare providers.
• 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 by the physician, via dictation or summary of the medical record.
• Dictation/faxing/phone calls and clerical tasks.
• Ensure that letters are mailed or faxed on a daily basis to all physicians involved in a patient’s care, with all copies of pertinent reports or tests attached.
• Research contact information for referring physicians, coordinate referrals, prepare operative reports, make phone calls, and perform other clerical tasks.
• Review for mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors.
• Ensure that all clinical data, lab or other test results, and the interpretation of the results by the physician are recorded accurately in the medical record.
• Maintain patient confidentiality.
• Assist in developing and maintaining systems to track patient follow-up and compliance.

Skills: Clinical Documentation, Medical Transcription, Patient Recording, Referral Coordination, Clerical Support, Documentation Review, Data Accuracy, Confidentiality Compliance

• 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.
• Lists all proper diagnoses and symptoms, as well as follow-up instructions and prescriptions by the Physician.
• Uses the electronic medical record system (OMR) to queue prescription renewals for review by a licensed provider.
• Enters/scribes orders for tests, services, or appointments in OMR.
• Transcribes patient orders, including laboratory tests, radiology tests, medications, etc.
• Documents any procedures performed by the Physician.

Skills: Exam Documentation, Clinical Scribing, Diagnosis Listing, EMR Management, Order Entry, Prescription Queuing, Procedure Recording, Test Transcription

• Ensures that documentation meets appropriate coding requirements.
• Assists the physician with the documentation of each patient’s medical chart during his or her stay.
• Accompanies the physician into the patient examination area to transcribe a history and physical examination as given by the patient and physician.
• Under the direction of the physician, transcribes patient orders, including laboratory tests, radiology tests, medications, etc.
• Transcribes any consultations or discussions with family and/or the patient’s private physician or the on-call physician.
• Completes the patient’s chart by transcribing results of any labs, x-rays, or other evaluations.
• Continuously checks on the progress of patient chart data to get the patient’s workup complete so that the physician can make his or her decisions regarding that patient.
• Lists all proper diagnoses as well as any discharge/follow-up instructions and prescriptions by the physician.

Skills: Coding Compliance, Chart Documentation, Exam Transcription, Order Transcription, Consultation Transcribing, Results Recording, Chart Monitoring, Diagnosis Listing

• Transcribe dictated reports and translate medical jargon and abbreviations into their expanded forms.
• Identify mistakes in reports and check with doctors to obtain the correct information.
• Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians.
• Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
• Return dictated reports in printed or electronic form for physicians' review, signature, and corrections, and for inclusion in patients' medical records.
• Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
• Take dictation using either shorthand or a stenotype machine, or using headsets and transcribing machines
• Transcribe dictation for a variety of medical reports such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultations, and/or discharge summaries.
• Perform a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, and operating office machines.
• Set up and maintain medical files and databases, including records such as procedure reports, medical histories, diagnostic workups, admission and discharge summaries, and clinical resumes.
• Maintains attendance according to scheduled days and hours, and appropriate dress and appearance and standards, according to company policy.
• Attends mandatory company training sessions by state/federal law

Skills: Medical Transcription, Error Identification, Data Management, Report Production, Document Processing, Report Editing, Dictation Handling, Office Administration

• Experience in Medical Assisting or Ophthalmic Assisting
• Experience navigating one or more EHR programs (NextGen)
• Knowledge of ICD-10 and CPT coding
• Knowledge of ophthalmic medical terminology
• High level of written and verbal communication skills, backed by exceptional editing and proofreading skills
• Excellent interpersonal skills
• Ability to manage the workload and work to agreed-upon timeframes
• Strong writing skills (previous experience in minute-taking, detailed note writing)

Qualifications: BA in English with 3 years of Experience

• Ability to provide excellent customer service to patients by listening and appropriately serving patients.
• Ability to assist the provider in navigating the Electronic Health Record system.
• Ability to enter information into the EHR by the provider.
• Ability to research information by the provider.
• Ability to respond to various messages by the provider.
• Ability to assist the physicians/physician assistant with documenting patient care in the electronic medical record and ensuring that all services ordered are coded in the electronic medical record.
• Ability to participate in office meetings and educational activities.
• Must comply with HIPAA procedures.

Qualifications: BS in Health Sciences with 1 year of Experience

• Proficient knowledge in musculoskeletal anatomy and physiology.
• Knowledge of general medical terminology, conditions, and interactions.
• Proficient in computer and typing skills.
• Ability to communicate effectively, both verbally and in writing.
• Strong Medical office experience
• Possess CPR/First Aid certification

Qualifications: BA in Communication Studies with 3 years of Experience

• CMSS or Medical Assistant certification
• Understanding of medical terminology
• Demonstrates knowledge of proper, safe, efficient usage of office equipment, computers, and software
• Working knowledge of Microsoft Office
• Ability to work in a fast-paced medical facility while adhering to HIPAA compliance regulations
• Must have exceptional customer service skills, excellent written and verbal communication skills, a positive attitude, and must support and demonstrate the values and behavioral standards at all times
• Must have the ability to work closely with others, have a pleasant attitude at all times, and be willing to exceed the expectations of patients, visitors, other providers, and coworkers
• Must have great organizational skills and be able to prioritize tasks and responsibilities
• Must be able to work and complete tasks with little supervision
• Must have experience working with computers and have the ability to document and communicate via office systems
• Experience in a Medical Office setting
• Scribe II Accredited Scribe Certification or Accredited Medical Assistant Certification
• Current Basic Life Support (BLS) Certification
• Excellent and legible penmanship 
• Ability to multitask and consistently communicate professionally 
• Medical terminology experience professionally in a clinical setting
• Ability to check and respond to all correspondence, including email, phone calls, or text messages

Qualifications: BS in Biology with 5 years of Experience

• 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 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 to understand and accurately transcribe dictated reports.
• 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 attach files.
• Must be able to type words and numbers quickly and accurately.
• Good judgment, organizational ability, initiative, and attention to detail.
• Must be proficient in Microsoft Office, Word, and Excel

Qualifications: BA in Journalism with 4 years of Experience