Individual Scribe Certification


ACCIM governing body has voted in 2010 and agreed upon the following requirements so it ensures that the candidate adequately understand the role of a “certified Scribe” or “certified Clinical Information Manager,” can function in a highly demanding environment and ensure that those individuals who receive certification are competent in their respective field and compliant with all mandates and policies.

1. Preclinical training that includes

Medical Terminology
Basic Anatomy
CMS Core Measures
Basics of Coding
Documentation for Billing and Medical Legal Liability
HIPAA Compliance
Functions of Hospital or Clinic Electronic Data Information Source
Basics of History and Physical documentation
Clinical scenarios
EMR training

2. Clinical training that includes

Patient Encounters- minimum 200 unassisted documented clinician-scribe encounters
EMR training
Clinical scenarios
Dispositions which include Discharges, Admissions and Transfers

3. Passing the ACCIM board examination with a pass rate of 80 percent or higher. Certification examination contains 100 questions based on medical terminology, HIPAA, medicolegal risk mitigation, visit-level assignments, knowledge of computer skills and function of an electronic health record. All topics are covered in pre-clinical and clinical training.