Medical Scribe Specialist Certificate

The Medical Scribe Specialist program provides instruction in medical terminology, anatomy and physiology, healthcare law and ethics, billing and reimbursement, ICD-10-CM, CPT, and HCPCS II coding, electronic health record components including documentation standards, computerized applications such as provider order entry and clinical decision support in the provider health record, personal health record at both the physical point of care and telemedicine, quality/performance health information workflow, and professional ethics/communication based on CAAHEP required standards. The program prepares students for entry level Medical Script positions requiring the input of accurate and timely data into the electronic health record under the direction of a physician benefitting both the clinician and the patient.

PROGRAM GOAL

To prepare competent entry level Medical Scribe Specialists by equipping them with the knowledge, skills, and ability to assist physicians and improve quality of health care delivery through careful, accurate, and timely physician-directed input into the electronic health record.

PROGRAM OUTCOMES

1. (cognitive domain) Medical Scribe Specialist students will have appropriate knowledge of medical terminology, anatomy/physiology, billing/coding/reimbursement, electronic health records, quality improvement principles, legal privacy/security of protected health information, and information workflow patterns in order to provide entry-level assistance to physicians in navigating and inputting patient information into the electronic health record at the point of care.
2. (psychomotor domain) Medical Scribe Specialist students will have appropriate skills in computer applications in order to provide entry-level assistance to physicians in navigating and inputting patient information into the electronic health record at the point of care including computerized provider order entry, clinical decision support through the search and procurement of evidence based and peer reviewed resources, and use of accepted clinical documentation integrity and practices.
3. (affective domain) Medical Scribe Specialist students will demonstrate the ability to provide entry-level assistance to physicians in navigating and inputting patient information into the electronic health record at the point of care including adhering to federal, state, local, and healthcare accreditation standards, HIPAA compliance, meaningful use, patient safety, and professionalism including ethical behavior and appropriate communication skills in a variety of healthcare settings.