Essential Duties and Responsibilities:
Accompany 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
Greets all patients in a professional and friendly manner.
Perform documentation in EHR software for physicians for all patients
Handles confidential material while protecting its strict confidentiality under HIPPA guidelines
Speak clearly and distinctly using appropriate vocabulary and grammar to obtain and convey information while
Transcribe patient orders including laboratory tests, radiology tests, medications, etc
Attends and participates in meetings as required.
Document any procedures performed by the physician
List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
Add Chief Complaints to ECW
Other duties as assigned.