MEDICAL SCRIBING
Medical scribing is a practice of documenting patient care encounters in real time under the guidance of a licensed healthcare provider.
The medical scribe must ensure that all the information recorded in the EHR is accurate, complete and up-to-date. This includes medical history, physical examination findings, laboratory results, and other relevant information.
Medical scribes should ensure that all medical records are completed in a timely manner and are compliant with relevant laws, regulations, and standards.
The medical scribe should be able to anticipate the physician’s needs and be ready to assist with any tasks that need to be completed. This may include retrieving medical records, running diagnostic tests, entering orders, and helping with referrals.
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