Medical Scribe job description

What is a Medical Scribe?

A Medical Scribe is a healthcare professional who works alongside physicians, nurse practitioners, and other clinical providers to handle the administrative burden of medical documentation. They are trained to navigate electronic health record systems and transcribe detailed clinical notes during patient visits. This role requires strong medical terminology knowledge, attention to detail, and the ability to work efficiently in fast-paced clinical environments. Medical Scribes serve as crucial partners to healthcare providers, enabling them to maintain eye contact and undivided attention with patients while ensuring comprehensive and accurate medical records.

What does a Medical Scribe do?

Medical Scribes perform real-time documentation of patient-physician interactions, including history of present illness, review of systems, physical examination findings, and assessment and plan. They enter orders for medications, labs, and imaging studies as directed by the provider. Scribes also assist with tracking lab and radiology results, updating patient charts with new information, and ensuring all documentation meets compliance standards. Additionally, they help manage workflow by preparing charts for upcoming patients and coordinating with other clinical staff to maintain efficient patient throughput throughout the day.

Job Overview

A Medical Scribe plays a critical role in healthcare documentation by accurately recording patient encounters in real-time, allowing physicians to focus on direct patient care. This position requires exceptional attention to detail, medical terminology knowledge, and the ability to work efficiently in fast-paced clinical environments across various medical specialties in the US healthcare system.

Medical Scribe responsibilities include:

Must-Have Requirements

Preferred Qualifications

Bonus Skills