Medical Scribing in Ernakulam

Medical Scribing

A medical scribe is an assistant to the physician who is responsible for documenting patients' family and medical histories, treatments, allergies, lab results and any information dictated to them or relevant to the patient's visit.

The primary duty of a medical scribe is to record the details of a patient's exam—clinical history, current complaints, diagnoses, procedures performed (either by the physician or other healthcare professionals) and medical orders given (including prescriptions and tests).

Medical scribes, sometimes called medical transcriptionists, also collect information on a patient so their care provider can review it before their appointment. The overall digitalization of healthcare, along with meaningful use stage 2 criteria that requires at least 50% of patients be provided electronic access to their health information has caused an increase in demand for medical scribes.

Physicians that aren't fully comfortable with their EHR system or feel they don't have time to copy the details of a patient's visit in their electronic record can hire a medical scribe to do so on their behalf. Medical scribes can also teach or help physicians to navigate their EHR system, locate specific patient data or enter notes into a patient's record.

Not all medical scribes reproduce physicians' handwritten notes into a digital format. Some sit in on a doctor's visit and record all necessary insurance, billing and medical information as it is given by the patient. The day-to-day function of a medical scribe often varies depending on the needs of their employing physician.

Medical Scribe Qualifications / Skills:

• Administrative writing skills.
• Reporting skills.
• Organizational skills.
• Record-keeping.
• Microsoft Office skills.
• Professionalism, confidentiality, and organization.
• Typing.
• Verbal Communication.