Medical Scribe
Core
Support primary care providers with real-time clinical documentation and care gap identification to enhance patient care quality.
Role type
Clinical Documentation Assistant (Medical Scribe)
Builds
Accurate structured clinical notes, CPT/ICD-10 coded records, and after-visit summaries for primary care providers.
Domain
Primary Care / Healthcare Administration / Value-Based Care
Required skills
Medical terminology, CPT and ICD-10 coding, structured note writing, clinical documentation improvement, population health data tools, order placement, referral management
Preferred skills
Prior clinical experience (shadowing/volunteering), prior scribe or transcription experience, typing 70+ wpm
Technologies
Electronic Health Records (EHR), population health tools
Responsibilities
Observe and document patient encounters in real-time; assign appropriate CPT and ICD-10 codes; prepare after-visit summaries; consult with providers on documentation accuracy; support clinical documentation improvement initiatives; place orders and referrals.
Seniority
Entry-level to Junior, full-time staff