Medical Scribe
Core
Clinical documentation assistant supporting primary care providers by documenting patient encounters, assigning codes, and preparing summaries to ensure accurate records and close care gaps.
Role type
Medical Scribe (Clinical Informatics Specialist)
Builds
Accurate clinical documentation and structured notes for primary care workflows
Domain
Healthcare / Primary Care / Clinical Informatics
Required skills
Medical terminology, ICD-10 coding, CPT coding, Electronic Medical Records (EMR), HIPAA compliance, Clinical documentation improvement, Population health tools, Administrative support, Order placement, Referral management
Preferred skills
Healthcare degree program background, Research or laboratory experience, Transcription experience, Shadowing or volunteering in clinical settings, Knowledge of common medications
Technologies
Electronic Medical Records (EMR), Population health tools
Responsibilities
Documenting patient encounters in structured notes including history, assessment, plan, and physical exam; Assigning appropriate CPT and ICD-10 codes; Preparing After Visit Summaries; Consulting with providers on documentation accuracy; Requesting and reviewing medical records for documentation improvement; Supporting daily huddles and clinical documentation reviews; Placing orders and referrals
Seniority
Entry-level, full-time associate