Endoscopy Scribe - Edmunds Gastroenterology

Job Summary:

The Endoscopy Scribe supports physicians and clinical staff by accurately documenting procedures, patient interactions, and findings in real-time during endoscopic procedures (e.g., colonoscopies, upper endoscopies). The scribe plays a critical role in improving provider efficiency, ensuring accurate medical records, and enhancing patient care documentation.

Key Responsibilities:

• Accompany gastroenterologist(s) during endoscopic procedures to document:
  • Procedure details
  • Observations and findings (e.g., polyps, inflammation)
  • Biopsy sites
  • Interventions performed (e.g., polyp removal, dilation)
  • Equipment used and medications administered
• Enter real-time data into the electronic medical record (EMR) system, including:
  • Procedure reports
  • Consent verification
  • Time stamps (start/end time, medication administration, etc.)
• Ensure completeness and accuracy of procedure notes under physician direction
• Maintain confidentiality and comply with HIPAA regulations at all times
• Assist in managing documentation workflow and preparation of post-procedure reports
• Collaborate with nurses and physicians to streamline documentation and improve turnaround time
• Ensure proper tagging and labeling of endoscopic images within the EMR system
• Maintain awareness of endoscopy terminology and medical abbreviations

Required:

• High school diploma or equivalent
• Excellent typing and data entry skills
• Knowledge of medical terminology, especially gastroenterology-related terms
• Strong attention to detail and ability to work in a fast-paced environment
• Ability to maintain professionalism and confidentiality

Preferred:

• Previous experience as a medical or clinical scribe
• Associate’s degree or coursework in health sciences or medical assisting
• Familiarity with EMR systems  (e.g., Epic, Cerner, Provation)