Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women’s and children’s health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services.
The Emergency Medicine Physician Record Assistant (also known as a medical scribe) assists the Emergency Medicine provider with documentation in the medical record, gathering laboratory and diagnostic data, and partnering with the provider to provide an optimal patient encounter. An optimal candidate for this position is self-motivated, hard-working, mature, and possesses the ability to work cheerfully and cooperatively with a wide variety of people in stressful situations. A Physician Record Assistant should be able to assimilate patient information in a clear and coherent manner. Knowledge of medical techniques and terminology, while certainly helpful, is of secondary importance; this information is easily acquired, while the traits listed above are not.
The Physician Record Assistant will be intensively trained and supervised, and regularly evaluated by the Emergency Medicine providers and supervising Physician Record Assistants. Because of the large body of knowledge required, a training period of at least 4 shifts working with a supervising Physician Record Assistant should be anticipated. This may be altered upon completion of the training period depending on the skills and knowledge the Physician Record Assistant-in-Training brings to the job. After training, a 3-month probationary period is necessary to ensure that the new Physician Record Assistant’s personality and abilities fully integrate into the complex workings of the Emergency Department. Once training is completed, Physician Record Assistants are expected to work at least 8 shifts per month. In addition, there will be required training and educational sessions along with any hospital required education that must be attended throughout employment.
The Emergency Medicine Physician Record Assistant’s (scribe) job duties will include the following as requested by the Emergency Medicine provider:
- The Scribe may document the history of present illness (HPI) and physical examination (PE) performed by the physician or APP, as dictated by the physician/APP.
- The Scribe may document procedures performed by the physician or APP, as dictated by the physician/APP
- The Scribe may record results and information for the physician treatment records, as dictated by the physician/APP.
- The Scribe may transcribe proper diagnoses and discharge/follow-up instructions, as dictated by the physician/APP.
- The Scribe may check on progress of lab, x-ray, or other tests/evaluations in order to expedite physician/APP decision making regarding the patient.
- The Scribe may transport properly labeled samples to the lab.
- The Scribe may retrieve reports and other information and present them to the physician/APP in printed or electronic format for physician/APP review.
- The Scribe may access medical records on behalf of the supervising physician/APP for treatment purposes only.
- The Scribe may fax treatment summaries to the patient’s private physician or next provider(s) of care and document such faxing in the medical record.
- The Scribe may provide simple acts of kindness under the supervision of providers and nursing staff, without any clinical impact, for patients (for example: obtaining a blanket for a patient).
- The Scribe may assist nursing staff in cleaning and restocking patient rooms.
- The Scribe may assist nursing staff in restocking the various treatment carts throughout the Department.
- The Scribe may assist nursing staff and housekeeping with replacing filled linen bags.
- The Scribe may, under the supervision of the treating provider and nursing staff, transport patients to their assigned room, appropriate waiting area, and/or to a zone for discharging the patient.
- The Scribe may assist in ensuring that the proper On-Call phone lists are placed for ease of use by the providers.
- The Scribe will assist visitors/family members in locating patients and providing directions to non-patient care areas.
- The Scribe will assist in providing needed paperwork from the provider to nursing staff.
- The Scribe will assist providers and staff with patient tracking and procedure performance during computer downtime.
In addition to the above duties the Chief Physician Record Assistant may perform some administrative tasks as well as assist with training under the direction of the Emergency Medicine provider.
The following activities are prohibited:
- The Scribe may not transcribe or write any orders into the medical record.
- The Scribe may not write prescription orders for the physician/APP to sign.
- The Scribe may not ask the patient any questions about the patient’s medical condition, medical history, family history or anything else that is related to the patient’s treatment or reason for visiting the hospital.
- The Scribe may not provide any services that are within the scope of practice of a licensed health practitioner.
- The physical demands described here are representative of those that must be met by a Physician Record Assistant to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essentials functions.
- While performing the duties of the job, the Physician Record Assistant will be required to stand for most of the shift while performing his/her duties. The Physician Record Assistant is occasionally required to lift up to at least 10 pounds.
- The Physician Record Assistant will comply with requirements for contractors working in the Hospital. These include, but are not limited to, HIPPA privacy training, HITECH and information management training, orientation processes, and complete immunizations as required by Dignity Health Employee Wellness. Physician Record Assistants also must submit to drug screening and background checks through Envision.
- Education: Must be a High School graduate. Applicants with a medical background or health care career goals and at least some college education are preferred.
- Excellent verbal and written communication skills. Medical terminology a plus.
- Proficient to above-average computer skills.
- Ability to organize plan and coordinate multiple tasks with a high sense of urgency and follow-through.
- Ability to work both in a team environment as well as independently.
If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.
Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.
Envision Physician Services is an Equal Opportunity Employer.