Medical Scribe job description

What is a Medical Scribe?

A Medical Scribe is a healthcare professional who works alongside physicians and other medical providers to document patient encounters in real-time. They serve as an extension of the healthcare team, specializing in electronic health record (EHR) management and clinical documentation. Medical Scribes are trained to capture detailed information about patient histories, physical examinations, diagnostic results, treatment plans, and physician-patient interactions with accuracy and efficiency. This role has become increasingly important in modern healthcare as it helps providers maintain focus on direct patient care while ensuring thorough and compliant medical documentation.

What does a Medical Scribe do?

Medical Scribes perform several critical functions during clinical encounters. They actively listen to patient-provider interactions and simultaneously document all relevant information into the electronic health record system. This includes recording patient histories, physical exam findings, assessment and plan details, diagnostic results, medications prescribed, and follow-up instructions. Additionally, Medical Scribes assist with managing the workflow by retrieving patient records, coordinating with other healthcare staff, and ensuring all necessary documentation is completed for billing and compliance purposes. They help maintain accurate and up-to-date patient charts while adhering to HIPAA regulations and medical privacy standards. Their work directly supports physicians in delivering more efficient and focused patient care.

Job Overview

A Medical Scribe is a critical healthcare team member who works alongside physicians to document patient encounters in real-time. This role enhances physician efficiency by handling electronic health record (EHR) documentation, allowing providers to focus solely on patient care. The position offers invaluable clinical exposure and is ideal for individuals pursuing careers in medicine, nursing, or healthcare administration.

Medical Scribe responsibilities include:

Must-Have Requirements

Preferred Qualifications

Bonus Skills