Pain Management Scribe

PURPOSE OF THIS POSITION  

The Pain Management scribe under the supervision of the Physician/Mid-level provider, assist in documentation the medical chart of each patient in office visits, office procedures, injections, and charge orders. 

JOB DUTIES/RESPONSIBILITIES 

Duty 1: Transcribes the proper medical documentation, diagnosis, discharge or follow-up instructions, as designated by the Provider.  

Duty 2: May accept verbal orders according to policy and enters patient orders as designated by provider. 

Duty 3: Assists in the organization of the Provider by maintaining a comprehensive list of active patients while in the department.  

Duty 4: Supports the implementation of clinical changes and evidence based practices. 

Duty 5: Demonstrates knowledge of care standards that reflect the professional and JACHO guidelines for care and recognizes personal accountability for the guidelines. 

Duty 6: Assumes an active role in keeping informed regarding changes in policy and procedure. 

Duty 7: Tailors care to meet the age specific and developmentally appropriate patient needs 

Duty 8: Assures patient’s rights to confidentiality of care and treatment. 

REQUIRED QUALIFICATIONS

• High School Graduate or GED equivalent with 1-3 years’ experience in a healthcare environment. 
• BLS certified 
• Typing and medical terminology experience required. 
• Positive service-oriented interpersonal and communication skills required. 
• Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.  Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures. 

PREFERRED QUALIFICATIONS

• Medical Assistant training/degree 

PHYSICAL DEMANDS 

This position requires a full range of body motion with intermittent activities in sitting, walking, lifting, bending, squatting, climbing, kneeling, twisting and standing. The associate must be able to lift 20 pounds. The individual must have excellent eye/hand coordination with the ability to grasp, push and pull, finger dexterity and fine manipulation. The associate must be able to reach work above the shoulder, and be able to use foot controls. This position requires corrected vision and hearing in the normal range. The associate must have excellent verbal skills to communicate with patients, physicians, and co-workers.