The Electronic Health Record Superuser/Scribe is an internal expert on the electronic medical record that trains employees on correct documentation processes and assists providers in scribing their medical encounters. The Superuser/Scribe has a thorough understanding of organization quality goals and relationship to documentation.

Reports to EHR Superuser/Scribe Supervisor

Supervises N/A

Dress Requirement Scrubs or Business casual in accordance to Heart of Ohio Family Health dress code policy

Work Schedule Full Time Position, Monday through Friday during standard business hours

Times are subject to change due to business necessity

Non-Exempt

Job Duties These are considered essential to the successful performance of this position:

• Trains employees in group and 1-1 setting on appropriate/optimal electronic health record documentation.
• Scribes for providers during medical encounters. Communicates effectively with providers to collect all needed documentation. Assists providers in closing quality gaps.
• Scribes codes tied to quality improvement initiatives such as CPC or UDS according to facility protocol. Examples include CPT II codes, BMI Z codes, SDOH Z codes.
• Audits documentation of staff to provide feedback to staff and staff supervisors.
• Completes various electronic health record audits and alerts appropriate staff of needed action. Examples include: open lab reports, open “procedure” reports, open “internal referrals” reports, import queues from external EHRs, and others.
• Creates new accounts, unlocks accounts, and adjusts account settings.
• Assists staff with access to external EHR systems and trains them on those systems.
• Troubleshoots staff issues related to the electronic health records. Acts as a resource to other team members.
• Participates in quality and process improvement teams as requested. Assists in note taking at meetings.
• Assist supervisor in creating documents or videos for workflows or other aspects of proper documentation.
• Maintains confidentiality of all patient and employee information to all except the other
• designated employees.
• Attends all Heart of Ohio Family Health mandatory meetings and other meetings as requested.
• Provide ongoing support and implementation of the PM and EMR systems.
• Other Duties as Assigned

Education

• Certified medical assistant or Licensed Practical Nurse strongly preferred. The right combination of education and experience will be considered.

Equipment Operated

Telephone

Computer

Printer

Fax machine

Copier

Other office equipment as assigned

Facility Environment

All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, pharmacy stock room, business offices, hallways and private toilet facilities. All facilities are on the main ground floor and ADA compliant.

This position’s primary work area is in an office within our facility

The office area is:

• kept at a normal working temperature
• sanitized daily
• maintains standard office environment furniture with adjustable chairs
• maintains standard office equipment; ie, computer, copier, fax machine, etc. at a normal working height

Physical Demands and Requirements these may be modified to accurately perform the essential functions of the position:

• Mobility = ability to easily move without assistance
• Bending = occasional bending from the waist and knees
• Reaching = occasional reaching no higher than normal arm stretch
• Lifting/Carry = ability to lift and carry a normal stack of documents and/or files
• Pushing/Pulling = ability to push or pull a normal office environment
• Dexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quickly
• Hearing = ability to accurately hear and react to the normal tone of a person’s voice
• Visual = ability to safely and accurately see and react to factors and objects in a normal setting
• Speaking = ability to pronounce words clearly to be understood by another individual

Job

Qualifications: (Experience, Knowledge, Skills and Abilities)

• 3 to 5 years of healthcare industry experience required.
• Medical office experience required.
• Strong medical terminology background.
• Significant experience with electronic medical records.
• Strong computer skills.
• Ability to understand complex workflows; Ability to comprehend technical documents and programs.
• Must be detail oriented, produce accurate work and have the ability to effectively communicate both verbally and in writing with all levels and roles within the company.