Medical Scribe
Core
Real-time clinical documentation assistant supporting primary care providers in patient encounters, including observing visits, documenting structured notes, and assigning medical codes.
Role type
Medical Scribe (Clinical Informatics Specialist)
Builds
Accurate clinical documentation and care gap closure reports for primary care providers
Domain
Healthcare / Primary Care / Value-based care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, CPT and ICD-10 coding, structured note writing, advanced listening, computer literacy, HIPAA compliance
Preferred skills
Prior clinical experience, prior scribe or transcription experience, fast typing speed (70+ wpm)
Technologies
Electronic Health Records (EHR), population health tools
Responsibilities
Joining providers in exam rooms to observe and document patient visits in real-time, assigning appropriate CPT and ICD-10 codes, preparing after-visit summaries, consulting with providers to ensure accurate documentation, reviewing medical records for documentation improvement, placing orders and referrals
Seniority
Entry-level to Junior, full-time staff