Scribe - SB Clinical Practice Management

Scribe - Stony Brook Orthopaedic Associates, UFPC  

Location: East Setauket, NY

Schedule: Per Diem

Days/Hours: Varies 

Pay: $20.00

Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. 

SUMMARY: This position requires the incumbent to provide clerical and information technology support for a physician within the practice. This includes primary responsibility of the operation of the electronic health records and electronic dictation system. 

Job Duties & Essential Functions:

• Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
  • Patient medical history and physical exam
  • Procedures and treatments performed by healthcare professionals, including nurses and physician assistants.
  • 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.
• Identify mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. All addenda must be signed off by a physician.
• Ensure that all clinical data, lab or other test results, the interpretation of the results by the physician are recorded accurately in the medical record.
• Alert physician when chart is incomplete.
• Comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential.
• Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding.
• Quickly assimilate new knowledge into processes and procedures.
• Proofread and edit all the physician's medical documents for accuracy, spelling, punctuation, and grammar.
• Additional duties as assigned.

Required Education & Qualifications:

• High School Diploma/GED
• 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 required 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 required 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 attachments.
• Must be able to type words and numbers quickly and accurately.
• Must comply with HIPAA confidentiality standards when accessing or communicating patient information.
• Good judgment, organizational ability, initiative, attention to detail.
• Must be proficient in Microsoft Office Word and Excel

 Preferred Qualifications:

• 1 year of experience as Scribe or Medical Assistant (must have graduated from an MA program) or in a medical office. Scribe certification will be considered in lieu of experience or college coursework as related to position.
• Bachelor’s degree.
• Ability to type 50-60 words per minute.
• Bilingual

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is active and requires the employee to constantly move about in the office to assist patients, staff and medical providers. Any additional physical demands will be outlined and provided by management.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP. 

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits.  SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.    

Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes.  Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY.  The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board. 

CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.

CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status.  Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.