Medical Scribe

Job Description The Medical Scribe supports physicians and advanced practice providers by accurately documenting patient encounters in the electronic health record. This role allows providers to focus more directly on patient care while ensuring documentation is complete, accurate, and entered in a timely manner. The Medical Scribe must maintain patient confidentiality, demonstrate strong attention to detail, and work effectively in a fast-paced clinical environment. Responsibilities Accompany the provider during patient visits and document the encounter in real time. Record the patient’s history, symptoms, physical examination findings, diagnoses, treatment plans, medications, and follow-up instructions as directed by the provider. Update patient charts in the electronic health record. Enter orders, referrals, prescriptions, and diagnostic testing requests for provider review and approval. Prepare charts before patient appointments by reviewing relevant medical history, test results, and previous documentation. Assist providers with locating laboratory results, imaging reports, consultation notes, and other clinical information. Ensure documentation is accurate, complete, and ready for the provider’s review and signature. Communicate documentation questions or missing information to the provider. Follow all HIPAA requirements and maintain strict patient confidentiality. Work collaboratively with providers, medical assistants, front desk employees, surgical schedulers, and other clinical team members. Perform other administrative or clinical documentation duties as assigned.