Medical Scribe
Core
Real-time clinical documentation assistant supporting primary care providers in exam rooms to document patient encounters, manage care gaps, and prepare summaries.
Role type
Medical Scribe (Clinical Informatics Specialist)
Builds
Structured clinical notes, After Visit Summaries, and accurate CPT/ICD-10 coding for value-based care.
Domain
Healthcare / Primary Care / Medical Documentation
Required skills
Medical terminology, CPT and ICD-10 coding, Advanced listening, Computer literacy, Fluency in Spanish/Polish/Russian (where indicated), HIPAA compliance
Preferred skills
Prior clinical experience (shadowing/volunteering), Prior scribe or transcription experience, Typing speed 70+ wpm
Technologies
Electronic Health Records (EHR), Population health tools
Responsibilities
Observe and document patient encounters in real-time, Assign CPT and ICD-10 codes, Prepare After Visit Summaries, Request and review medical records for documentation improvement, Place orders and referrals, Support daily huddles and clinical documentation reviews
Seniority
Entry-level to Mid-level, Full-time