Medical Scribe
Core
Clinical documentation assistant who observes patient encounters in real-time to document history, assessment, plan, and physical exam, while assigning CPT and ICD-10 codes to help close care gaps.
Role type
Medical Scribe (Clinic Informatics Specialist)
Builds
Structured clinical notes, after-visit summaries, and population health data streams
Domain
Healthcare / Clinical Documentation
Required skills
Medical terminology, medication knowledge, advanced listening, communication, computer literacy, typing 70+ wpm, ability to work in-person
Preferred skills
Prior clinical experience (shadowing/volunteering), prior scribe or transcription experience, Spanish/Polish/Russian fluency
Technologies
Electronic health records (EHR), population health tools
Responsibilities
Documenting patient encounters in real-time, assigning CPT and ICD-10 codes, preparing after-visit summaries, consulting with providers on documentation accuracy, requesting and reviewing medical records, placing orders and referrals
Seniority
Entry-level to Junior, full-time employee