Medical Scribe - Full Time

Position Summary:

The Clinical Support Specialist will participate in the documentation of healthcare records for patients under the direction of on-staff providers while maintaining compliance with clinic, State, and National policies, procedures, rules, and regulations.

Duties and Responsibilities:

• Support the creation of accurate and timely clinical documentation during patient encounters using AI-enabled documentation tools and the electronic medical record (EMR), including HPI, ROS, physical exam findings, and provider observations.
• Review AI-generated encounter documentation for completeness, clarity, and internal consistency and flag discrepancies or items requiring provider clarification.
• Prepare clinical documentation for provider review and signature.
• Enter and queue laboratory, imaging, medication, and prescription orders for provider review and approval.
• Process and document lab results, diagnostic testing, and provider interpretations within the electronic medical record (EMR).
• Assist with patient discharge workflows, including entering diagnoses, preparing discharge instructions, printing patient paperwork, work notes, and school excuses, and completing discharge documentation in the EMR
• Support patient flow by updating patient status, facilitating timely discharges, and helping reduce door-to-door visit times.
• Communicate with patients regarding wait times, test results, care updates, and provider-directed follow-up information.
• Assist with pharmacy management activities, including updating pharmacy information and supporting prescription processing.
• Manage provider inbox tasks, telephone encounters, patient callbacks, and other routine communications.
• Enter procedure documentation, medication administration records, injection orders, and EKG interpretations as directed by providers.
• Assist clinical staff with laboratory operations and specimen processing when needed.
• Answer incoming clinic phone calls and route requests appropriately.
• Collaborate with providers, nurses, technicians, and administrative staff to improve clinic efficiency and patient experience.
• Serve as a workflow support resource, allowing providers to focus on direct patient care while maintaining timely and accurate documentation.
• Monitor outstanding clinical documentation, orders, results, patient communications, and other provider-directed tasks and facilitate timely completion or escalation to the appropriate team member.
• Additional duties as assigned

Education:

• High School Diploma or equivalent.
• Licenses/Certification:
• Must obtain and maintain a current certification in BLS.

Experience:

• Healthcare experience preferred.

Skills:

• PC skills or applicable computer experience.
• Ability to accurately read and write medical terminology.
• Ability to work all shifts.
• Ability to escort or transport patient by wheelchair or stretcher.
• Detail-oriented with excellent interpersonal communication skills.

Working Conditions:

• May be exposed to/occasionally exposed to patient elements.
• Subject to varying and unpredictable situations and interruptions.
• Occasionally subjected to irregular hours.
• Occasional pressure due to a fast-paced environment.
• The position may require lifting, carrying, or pushing equipment or patients.

Physical Requirements:

• Must be able to see with corrective eyewear.
• Must be able to hear clearly with assistance.
• May be exposed to infectious and contagious diseases.
• May be in contact with patients under a wide variety of circumstances.
• Able to handle emergency or crisis situations.
• Will be required to wear protective equipment as necessary.
• Ability to escort or transport patient by wheelchair or stretcher
• Frequently: Sitting, walking, standing.
• Occasionally: Bending, squatting, climbing, kneeling, twisting, lifting, carrying, pushing, traveling.
• Ability to lift 15-20 pounds