Medical Scribe Online

Course Name

Medical Scribe Online

Contact Hours: 500 (an estimated time frame devoted to a course of study from start to finish that can vary from student to student)

Course Description

What is a Medical Scribe?

A great new career in the provider support team assisting the provider in charting in the Electronic Medical Record and patient follow-up. In the course, you will learn everything you need to know to become a Medical Scribe. Included are Medical Terminology, Electronic Medical Records, Medical Reports for analysis and Coding Training. From the exam room where the scribe records the history, examination, treatment plan, and other clinical data in real time, while the physician interacts with the patient, to reminding providers of treatment plans, checking to be sure test results are received, and prescriptions are refilled. Medical coding is often part of the responsibility.

What to Expect:

The training will provide the career skills for medical scribing in clinical and institutional settings. It is complete with comprehensive test and practice exams to provide not only the basic theories needed, but have lots of hands on experience all the way.

Please note: Course of study may be completed earlier than indicated and students retain access for one year from the date of enrollment.

Outcome

What You Will Learn:

• Complete knowledge of medical terminology
• Understanding the elements of the physical examination process and record the exam details
• Electronic Medical Record

Assessment

Assessment Tools:

• Quizzes
• Practical Experience
• Online Exercise

Outline

MODULE 1 – Medical Terminology

Chapter 1. Language Origins, Etymoloy
Chapter 2. English Grammar 101
Chapter 3. Medical Words, Blueprints, Nuts and Bolts
Chapter 4. Dynamics of Medical Vocabulary & Word Structure
Chapter 5. Body Dynamics
Chapter 6. Medical Instruments and Equipment
Chapter 7. Medical Specialties and Specialists
Chapter 8. Diagnostic Medicine
Chapter 9. Abbreviations
Chapter 10. Anatomy and Physiology
Chapter 11. Pharmacology
Chapter 12. Just For Fun

MODULE 2 – Medical Records

Chapter 1. Medical Records

1. Electronic Medical Records
2. Electronic File Transfer
3. Confidentiality
4. Data Entry

1. Medical Dictation
2. Report Types
3. Outpatient Reports
4. Correspondence
5. Inpatient Reports
6. Operative Report
7. Discharge Summaries
8. Consultations
9. Autopsies
10. Interpreting Medical Records & Dictation

1. ICD Codes
2. CPT Codes
3. HCPCS Codes
4. Evolution of Coding

1. Private Practice
2. Hospital Services
3. Coder Responsibility
4. Ethical Standards
5. Understanding What is Coded
6. Documentation
7. Medical Necessity

1. ICD-10 Coding
2. Using Reference Books
3. General Coding Guidelines

1. Types of Services
2. CPT Coding Book Guidelines
3. Modifiers
4. CPT Book Sections
5. Symbols
6. Unlisted Procedures
7. Evaluation and Management

1. ICD-9 and ICD-10 Coding
2. CPT Coding
3. Reports 2 through 63
4. Evaluation and Management Reports
5. Supply Codes, APC, PCS

Books

All required materials are included; no additional purchase is necessary. If you have any questions, please reach out to courseinfo@jeronline.com.