
Documentarian for Healthcare Teams
2 weeks ago
A medical scribe is a vital member of the healthcare team, responsible for documenting clinical interactions in real-time.
This role allows medical professionals to focus on patient care by handling the documentation side of the encounter.
Key Responsibilities:- Accurate Charting: Document real-time patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs).
- Patient Information: Accurately capture patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions.
- Chart Maintenance: Update and maintain charts, medication lists, allergies, and problem lists.
- Administrative Support: Assist with administrative tasks such as templating notes and handling visit summaries.
- Record Review: Review prior records to provide context for current visits.
- Communication: Maintain communication with providers for clarification and accuracy of documentation.
- Compliance: Ensure all documentation is HIPAA-compliant and meets clinical and legal standards.
- Effective Communication: Excellent verbal and written English communication skills.
- Experience: At least 1–2 years of experience as a medical scribe or in a clinical documentation role.
- Clinical Knowledge: Familiar with medical terminologies and clinical workflows.
- Educational Background: A healthcare-related degree is highly preferred.
- Technical Skills: Proficient with Google Workspace and/or Microsoft Office.
- EMR Experience: Experience with EMRs such as Epic, Cerner, or AthenaHealth is a plus.
- HIPAA Certification: HIPAA Certification is a plus.
- Typing Skills: Fast and accurate typing skills.
- Attention to Detail: Strong attention to detail.
- Organizational Skills: Organized and highly focused.
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