Maricopa Community Colleges  HSE124   20046-99999 
Official Course Description: MCCCD Approval: 05/25/04
HSE124 20046-99999 LEC 1 Credit(s) 1 Period(s)
Medical Scribe Fundamentals
Training and responsibilities of a medical scribe in the medical practice setting. Patient encounter duties to include medical service provider documentation extender and provider chaperone. Patient data management related to the complete documentation of rendered physician services. Medical terminology and diagnosis and service coding for documentation purposes. Patient chart management. Provisions and penalties of the Health Insurance Portability and Accountability Act (HIPAA). Prerequisites: None.
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MCCCD Official Course Competencies:
 
HSE124   20046-99999 Medical Scribe Fundamentals
1. Describe the job description, responsibilities and training for a medical scribe. (I)
2. Describe the professional resources and certifications available to a medical scribe. (I)
3. Explain the documentation process and the role of the scribe in the patient encounter. (I)
4. Describe the use of the electronic medical record and the related forms and templates. (II)
5. Appropriately use medical terminology as it relates to the documentation process. (II)
6. Describe diagnosis and service coding as it relates to documentation guidelines. (II)
7. Explain procedures for patient chart management. (II)
8. Explain the provisions of the HIPAA and penalties for inappropriate data disclosure. (II)
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MCCCD Official Course Outline:
 
HSE124   20046-99999 Medical Scribe Fundamentals
    I. Job Preparation for a Medical Scribe
        A. Job Description and Responsibilities
        B. Required Training
        C. Professional Affiliations and Certifications
      II. Medical Information and the Documentation Process
          A. Role of Medical Scribe in a Patient Encounter
            1. Documentation extender of medical service provider
            2. Provider chaperone
          B. Using the Electronic Medical Record
            1. Forms
            2. Templates
          C. Medical Terminology
          D. Review of Related Diagnosis and Service Coding
          E. Procedures for Patient Chart Management
          F. HIPAA
            1. Provisions
            2. Disclosure penalties
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