About This Role
This role supports physicians and advanced practice providers by accurately documenting patient encounters in the electronic health record. The Medical Scribe enables providers to focus more directly on patient care while ensuring documentation is complete, accurate, and entered in a timely manner. The role requires maintaining patient confidentiality, strong attention to detail, and effective work in a fast-paced clinical environment.
Responsibilities
- Accompany the provider during patient visits and document the encounter in real time
- Record the patient’s history, symptoms, physical examination findings, diagnoses, treatment plans, medications, and follow-up instructions as directed by the provider
- Update patient charts in the electronic health record
- Enter orders, referrals, prescriptions, and diagnostic testing requests for provider review and approval
- Prepare charts before patient appointments by reviewing relevant medical history, test results, and previous documentation
- Assist providers with locating laboratory results, imaging reports, consultation notes, and other clinical information
- Ensure documentation is accurate, complete, and ready for the provider’s review and signature
- Communicate documentation questions or missing information to the provider
- Follow all HIPAA requirements and maintain strict patient confidentiality
- Work collaboratively with providers, medical assistants, front desk employees, surgical schedulers, and other clinical team members
- Perform other administrative or clinical documentation duties as assigned
Requirements
- High school diploma or equivalent required
- Strong typing, spelling, grammar, and organizational skills
- Ability to listen, document, and communicate accurately in a fast-paced environment
- Ability to maintain professionalism and confidentiality
- Strong attention to detail and the ability to manage multiple priorities
Nice to have:
- Associate or bachelor’s degree in healthcare, biology, pre-medical studies, or a related field
- Previous medical scribe, medical assistant, or clinical documentation experience on eClinicalWorks
- Knowledge of medical terminology, anatomy, and common clinical procedures
- Experience using an electronic health record system
Important Details
- Schedule: ability to work alongside providers during scheduled patient sessions; occasional evening or extended hours may be required based on provider schedules
- Travel: flexibility to travel between practice locations may be required
Important Role Limitations
