Medical Scribe Job Description: Top Duties and Qualifications

A Medical Scribe, or Hospital Scribe, is responsible for recording a Physician’s interactions with patients and assisting with clerical duties related to medical documentation. Their duties include recording a Doctor’s interactions with patients, filling out paperwork, summaries and referral letters after a visit and entering data into medical records.

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Medical Scribe duties and responsibilities

A Medical Scribe is a paraprofessional who acts as a personal assistant to a Physician or Doctor and collects information from patients in real-time during their visits. Some of their main responsibilities in a medical facility include:

  • Taking notes during patient visits and documenting them in the electronic health records system
  • Learning about the medical process and using a team approach in patient supervision and documentation
  • Working with a supervising Physician or Doctor to complete and submit medical records
  • Communicating with patients and supervising Physicians professionally
  • Completing all administrative tasks efficiently and helping the Physician take tests and give out medication
  • Helping electronically prescribe medication for patients

Medical Scribe Job Description Examples:

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Medical Scribe

Job Description

As a medical scribe, you will be responsible for accompanying medical providers into the exam room and accurately documenting the patient-provider encounter. This is an in-person scribe position. We have ED positions open to suit most schedules, but all scribes are required to have at least one day of availability Monday through Thursday each week.

Responsibilities:

  • Accurately document patient-provider encounters in an electronic medical record (EMR), including any past medical history, current medical issues, physical exams, treatment plans, disposition instructions, rechecks, etc.

  • Provide advanced support to providers, including documenting phone calls, alerting the physician with labs/radiology reports are complete, grabbing faxes, etc.

  • Assist with the disposition of patients from the facility.

    Qualified Applicants:

  • Must have a passion for medicine and a desire to grow

  • Must be adaptable and be willing to take constructive criticism

  • Must be able to type a minimum of 55 wpm. This is a very fast-paced environment, so you must be able to keep up while remaining accurate.

  • Must be able to commit at least to one year of employment

  • Ability to multi-task and prioritize

  • Background in medical terminology, shadowing, volunteer experience a plus, but not required as you will be trained on medical terminology.

  • Must have a computer or access to a computer for virtual training.

    What we offer:

  • Offers paid one-on-one time with a physician where you have the opportunity to learn and observe the medical decision-making process

  • Paid training providing a crash course in medicine.

  • Flexible shift scheduling for college students

  • Full exposure to real clinical or emergency room settings.

  • Excellent resume builder and chance to build referrals for med school

  • Clinical hours toward PA school applications

  • Paid Shadowing experience

    [website]

    Job Types: Full-time, Part-time

    Shifts:

  • Morning (Preferred)

  • Mid-Day (Preferred)

  • Evening (Preferred)

  • Graveyard (Preferred)

    Working Days:

  • Monday (Preferred)

  • Tuesday (Preferred)

  • Wednesday (Preferred)

  • Thursday (Preferred)

  • Friday (Preferred)

  • Saturday (Preferred)

  • Sunday (Preferred)

    Application Question:

  • Are you currently enrolled in or have you graduated from a college/university? Yes/No

    Work Location:

  • One location

  • Multiple locations

    Benefits:

  • Health insurance

  • Dental insurance

  • Vision insurance

  • Paid time off

    Hours per week:

  • 20-29

  • 30-39

    This Company Describes Its Culture as:

  • Detail-oriented -- quality and precision-focused

  • Outcome-oriented -- results-focused with strong performance culture

  • Stable -- traditional, stable, strong Team-oriented -- cooperative and Monday to Friday
  • ×

    Medical Scribe

    Job Description

    As a medical scribe, you will be responsible for accompanying medical providers into the exam room and accurately documenting the patient-provider encounter. This is an in-person scribe position. We have ED positions open to suit most schedules, but all scribes are required to have at least one day of availability Monday through Thursday each week.

    Responsibilities:

  • Accurately document patient-provider encounters in an electronic medical record (EMR), including any past medical history, current medical issues, physical exams, treatment plans, disposition instructions, rechecks, etc.

  • Provide advanced support to providers, including documenting phone calls, alerting the physician with labs/radiology reports are complete, grabbing faxes, etc.

  • Assist with the disposition of patients from the facility.

    Qualified Applicants:

  • Must have a passion for medicine and a desire to grow

  • Must be adaptable and be willing to take constructive criticism

  • Must be able to type a minimum of 55 wpm. This is a very fast-paced environment, so you must be able to keep up while remaining accurate.

  • Must be able to commit at least to one year of employment

  • Ability to multi-task and prioritize

  • Background in medical terminology, shadowing, volunteer experience a plus, but not required as you will be trained on medical terminology.

  • Must have a computer or access to a computer for virtual training.

    What we offer:

  • Offers paid one-on-one time with a physician where you have the opportunity to learn and observe the medical decision-making process

  • Paid training providing a crash course in medicine.

  • Flexible shift scheduling for college students

  • Full exposure to real clinical or emergency room settings.

  • Excellent resume builder and chance to build referrals for med school

  • Clinical hours toward PA school applications

  • Paid Shadowing experience

    [website]

    Job Types: Full-time, Part-time

    Shifts:

  • Morning (Preferred)

  • Mid-Day (Preferred)

  • Evening (Preferred)

  • Graveyard (Preferred)

    Working Days:

  • Monday (Preferred)

  • Tuesday (Preferred)

  • Wednesday (Preferred)

  • Thursday (Preferred)

  • Friday (Preferred)

  • Saturday (Preferred)

  • Sunday (Preferred)

    Application Question:

  • Are you currently enrolled in or have you graduated from a college/university? Yes/No

    Work Location:

  • One location

    Benefits:

  • Health insurance

  • Dental insurance

  • Vision insurance

  • Paid time off

    Hours per week:

  • 20-29

  • 30-39

    This Company Describes Its Culture as:

  • Detail-oriented -- quality and precision-focused

  • Outcome-oriented -- results-focused with strong performance culture

  • Stable -- traditional, stable, strong Team-oriented -- cooperative and
  • ×

    Medical Scribe

    1. Accompany Physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician’s encounter with the patient and others present.

    2.List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician

    3.Transcribe patient orders including laboratory tests, radiology tests, medications, etc.

    4.Document any procedures performed by the physician in Epic.

    5. Cooperates with other RMG employees to achieve specific team goals.

    6.All RMG employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all Hippa and Osha requirements.

    Qualifications:

    Education: High school diploma or equivalent

    Medical Terminology

    Basic computer and word-processing skills

    Recognition of the physical exam process and ability to record exam details.

    Computer proficiency and ability to quickly learn new applications.

    Legible handwriting and ability to accurately record information.

    Organizational skills with a focus on tracking patient care and improving patient flow.

    Professional demeanor and recognition of privacy considerations for patients and families.

    Other Requirements:

    Ability to multi-task efficiently and effectively.

    Must be able to act calmly and effectively in a busy or stressful situation.

    Ability to communicate effectively in the English language in person, by phone and in writing.

    Requires adherence to all policies and procedures, including but not limited to standards for safety, attendance, punctuality, and personal appearance.

    Must be able to establish and maintain effective working relationships with managers and peers.

    Job Type: Full-time

    Experience:

  • scribing: 1 year (Preferred)

  • medical scribe: 1 year (Preferred)

  • medical assistant: 1 year (Preferred)

  • medical terminology: 1 year (Preferred)

  • medical office: 1 year (Preferred)

    Work Location:

  • One location

  • Multiple locations

  • Fully Health Dental Vision Retirement plan

  • Paid time off

  • Parental leave
  • What does a Medical Scribe do?

    Medical Scribes work in hospitals or clinics to improve documentation and make the process of treating patients more efficient by handling electronic health records and documenting visits. Their role is to oversee the information technology aspects of running a medical office and complete clerical tasks related to communication and recordkeeping. They accompany Physicians during their rounds and manage medical documentation by summarizing their interactions with their patients. Medical Scribes prepare voice recordings for transcription and review medical documents for errors, typos and inconsistencies. They can also perform basic research tasks by communicating with other healthcare providers and updating contact information.

    Medical Scribe skills and qualifications

    Medical Scribes need to portray a level of professionalism and cleanliness while working with medical staff. Some of the other important skills they need to handle their job duties include:

    • Ability to expertly document patient care and transcribe patient appointments
    • Advanced computer skills
    • Confidentiality and privacy of the patients 
    • Strong organization, multitasking and time management skills
    • Ability to handle high-pressure situations effectively
    • Excellent written and verbal communication skills
    • Good bedside manner and interpersonal skills
    • Ability to work in a fast-paced environment

    Medical Scribe salary expectations

    Medical Scribes make an average of $14.31 per hour. This pay rate may vary based on a candidate’s education, experience and location.

    Medical Scribe education and training requirements 

    The minimum requirement to become a Medical Scribe is normally a high school diploma. However, most employers prefer to hire candidates with a college degree or certification, such as the Certified Medical Scribe Associate (CMSA) or the Certified Medical Scribe Professional (CMSP). These positions can be also held by college students working toward a medical degree. Although their education may be incomplete, employers still hire them because they have a strong knowledge of medical terminology.

    Medical Scribe experience requirements 

    Typically, Medical Scribes are required to have at least 1 year of prior experience dealing with electronic health records. Employers usually prefer candidates who have worked in an urgent care environment, have recent medical scribing experience and are familiar with most medical terminologies. Many Medical Scribes gain this experience by completing an online or on-site training program.

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    Frequently asked questions about Medical Scribes

     

    What is the difference between a Medical Scribe and a Medical Transcriptionist?

    Medical Scribes have a comprehensive clerical support position on-site in a healthcare setting, compared to Medical Transcriptionists who can work in a remote location and focus on translating audio files into medical documents. Medical Scribes are present with the Doctor as they work with the patient. If a Medical Scribe is unavailable, the Physician may use dictation devices to record audio of their sessions, then upload the file to a software program so Medical Transcriptionists can access the file and transcribe all of their interactions. Both Medical Transcriptionists and Medical Scribes use medical shorthand and abbreviations to summarize interactions.

     

    What should you look for on a Medical Scribe's resume?

    If you want to hire a Medical Scribe, look for applicants that have previous experience in a medical environment so that you can hire someone who already understands medical terminology and procedures. In the skills section, look for candidates with a fast typing speed, attention to detail, organization, multi-tasking and communication skills. Top candidates should be familiar with working in an office environment, handling paperwork and producing written reports as part of their regular duties. Medical Scribe candidates should mention their experience working with the public because they will regularly interact with patients when shadowing Physicians.

     

    What are the qualities of a good Medical Scribe?

    Good Medical Scribes are highly perceptive people who pay attention to all of the details of a situation. They are focused on the Physician’s actions during appointments and carefully record their conversations and interactions without losing focus or missing important details. Successful Medical Scribes also have great judgment and can determine what details of a Doctor-patient interaction are essential for their records and what information is irrelevant. They use their organization and time management skills to systematically complete transcription, organization and recordkeeping tasks during downtime between appointments with patients, optimizing all office activities while still keeping up with the Physician.

     

    What are the daily duties of a Medical Scribe?

    Medical Scribes regularly use patient tracking software throughout their day to determine their schedule and responsibilities. They meet with Doctors at the beginning of an appointment and accompany them to the exam room, writing down details about the patient’s medical history, the physical exam, any suggested procedures, treatments or lifestyle changes, diagnoses, prescriptions and discussion of side effects or risks of various treatments. When Physicians dictate referral letters, Medical Scribes write them down and send them to the partnering medical office. They check patient charts to confirm they are complete and track down any missing details.

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