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Scribe (PRN - Weekdays)

Acadia

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#Behavioral Health#Medical Records#HIPAA#Patient Care#Clinical Documentation#Scribe#Inpatient Hospital#Mental Status Examination#Medical Dictation
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OtherOn Site0-2 yrsPosted 10 days ago

Location

Oro Valley, Arizona

Quick overview

Provide administrative support to physicians by accurately documenting patient histories, examinations, and treatment plans during patient visits. Ensure all medical records are completed in collaboration with the physician while maintaining strict confidentiality and HIPAA compliance.

Requirements summary

Requires a high school diploma or equivalent and at least one year of administrative or scribe experience. Candidates must possess knowledge of clerical procedures and the ability to document medical information clearly and legibly.

high schoolHIPAA ComplianceMedical TerminologyAdministrative SupportProfessional CommunicationRecords ManagementMedical DocumentationPatient History RecordingClerical Procedures

Job description

Sonora is a leading behavioral health provider, operating a 140-bed inpatient hospital along with ECT and outpatient therapy services. Located in Tucson, Arizona, we are dedicated to serving children, adolescents, and adults across all stages of behavioral health needs. Our team is committed to delivering high-quality, compassionate care, and we are seeking motivated, dedicated professionals to join us in making a meaningful impact in the communities we serve. PURPOSE STATEMENT: ​Provide administrative support to facility Physician to ensure efficient dictation of patient notes and situations.

  • Accompany the physician during examination of the patient.
  • Accurately document the physician dictated patient history, history of present illness, pertinent findings, mental status examination, medications and allergies.
  • Accurately document the results of laboratory and radiographic studies as dictated by the physician.
  • Accurately document the diagnoses, procedures, risk factors, and plans as dictated by the physician.
  • Uses the team approach to patient care and documentation.
  • Ensures all orders for patient care are communicated by the physician and not the Scribe.
  • Complete and present the medical record in collaboration with the physician.
  • Responsive to improvement opportunities in a positive manner.
  • Communicate in a professional and respectful manner to the supervising physician, ancillary hospital staff.
  • Demonstrate the knowledge and skills necessary to document patient care as dictated by a physician in a legible and clear manner, following all local, state, and federal guidelines for documentation.
  • Maintain confidentiality and privacy in accordance with governing HIPAA regulations.
  • Treat all information, data and training materials utilized in the scope of the Scribe position with complete confidentiality and security.
  • Cooperates fully with all risk management activities and investigations.
  • Adheres to policies and procedures regarding medical terminology and approved abbreviations.

​education/Experience/Skill requirements

​High school diploma or equivalent required. ​One or more years’ administrative/scribe experience required. ​Knowledge of administrative and clerical procedures and systems such as managing files and records. SONBH We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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Acadia

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Hiring organization

Acadia

Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country. Acadia Healthcare’s mission is to create a world-class organization that sets the standard of excellence...

Explore employer profile
IndustryMental Health Care
TypePublic Company
Size10,001+ employees
HQFranklin, Tennessee

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