Medical Scribe Job Descriptions, Average Salary, Interview Questions

[Your Company Name] is seeking a detail-oriented medical scribe to work at our facility. You will be working very closely with our physicians when they meet with patients and transcribing patient notes into their digital medical records. The scribe provides real-time charting by shadowing the physician throughout their schedule and performs a variety of tasks including recording the patient’s history and chief complaints, transcribing the physical exam, ordering X-rays, recording diagnostic test results, and coordinating with departmental resources regarding tests, orders, radiology, and results. Our ideal candidate has experience working in the medical field and comes to work with a friendly attitude every day.

Typical duties and responsibilities

• Observe patient-physician interactions and document each patient’s electronic health records
• Enter orders or referrals on behalf of the physician
• Gather information from the patient’s visit that’s important to document
• Partner with the physician to deliver efficient patient care under the direction of a nurse or other medical professional
• Assist the physician when asked
• Document procedures, lab results, dictated radiographic impressions made by the physician, and more
• Adhere to HIPPA laws

Education and experience

• High School Diploma
• College Degree or Certification (CMSA or CMSP) a plus
• At least 1 yr experience with electronic health records
• Experience in urgent care preferred
• Recent medical scribing experience preferred

Required skills and qualifications

• Must be familiar with medical terminology in the field you’re working in
• Capable of precisely transcribing patient care and appointment details
• Up to date computer skills
• Ability to keep patient details confidential and private
• Excellent navigation of multitasking, organization, and time management skills
• Must respond well to high-pressure situations in an efficient manner
• Possess advanced communication skills (both written and verbal)
• Good people skills 
• Capabile of keeping up in a fast-paced environment
• Ability to work in a team with colleagues
• Ability to type at least 60 words per minute

Preferred qualifications

• Experience with transcption
• Familiarity with most medical terminology across medical fields
• Intermediate working knowledge of Microsoft Office applications
• Knowledge of medical EMR software

The Medical Scribe performs a variety of clerical but is not limited to, assisting a medical provider with fundamental patient care. Compliance with care management requirements and HEDIS measures in an outpatient examining room setting under the direction of a registered nurse and/or physician.

Responsibilities

• Escort a physician in order to document the events in the history and physical exam, and document accurately the physical examination
• List all symptoms and diagnoses including laboratory tests, medication orders, treatment, etc.
• Document all procedures performed by the physician
• Verifies patient information by interviewing patient, recording medical history, confirming purpose of visit
• Performing post-treatment physical tests: taking blood pressure and body temperature, and recording patient history summary
• Secures patient information and maintains patient confidence by completing and safeguarding medical records
• Maintains a safe, secure, and healthy work environment by establishing and following standards and procedures; complying with legal regulations
• Serves and protects the practice by adhering to professional standards, policies, and procedures, federal, state, and local requirements

Qualifications

• Medical Assistant Certification
• Medical terminology
• Recognition of the physical exam process and ability to record exam details
• Computer proficiency and ability to quickly learn new applications
• Organizational skills with a focus on tracking patient care and improving patient flow
• A High School Diploma or equivalent is required and at least two (2) years of experience as a Medical Assistant, Phlebotomist, or in additional areas of patient health care in a clinical setting

You’ll be on the “front line” of the medical field, seeing the world through the eyes of a provider and interacting with people from all walks of life. As an integral member of the care team, you’ll act as a physician’s personal efficiency partner. Most importantly, you’ll make a difference in people’s lives and be a part of the future of healthcare.

Whether it’s helping you gain entrance into medical/nursing school, giving you priceless advice and insight, or just leading by example as a consummate professional, your partnering physician will profoundly affect your future as a healthcare professional. Your scribe experience—the people you meet, the relationships you develop, and the encounters you witness— will change your life!

Why ABC Company is the best:

• Work one-on-one with physicians and other healthcare providers
• Gain exposure to over 80+ different specialties
• Observe a wide variety of cases. from trauma to pediatrics
• Build your professional network and find mentorship in your partnering physicians
• Paid training to all hired employees that provides a crash course in medicine including terminology, disease processes, procedures, medications, medical decision-making, and more
• Great alternative career for those with CNA, MA, EMT, or Paramedic backgrounds
• Flexible scheduling options, with in-person and remote opportunities
• Unique travel options and a great team culture

As a scribe you will:

• Accompany the healthcare provider into patient examination rooms in order to transcribe the patient’s history, physical exam findings, consultations, labs, X-rays, and other evaluations, as stated by the provider, directly into the medical record
• Prepare plans for follow-up care, as directed by the provider
• Process admitted and discharge paperwork
• Provide advanced support to providers, including documenting phone calls, alerting the physician with labs/radiology reports are complete, grabbing faxes, etc.

Qualifications and requirements:

• Outpatient and Hospitalist schedules will require weekday availability. (ie: M-F 8-5)
• The minimum availability required for our medical scribe position is 2 shifts per week; shifts range from 8 to 12 hours long
• It is the Company’s hope that this will be a long-term position. This is not intended to be a seasonal position
• Candidates must be available to work in the local area for at least a year. No summer-only positions.
• Must have a high school diploma or equivalent
• Must have a passion for medicine and a desire to grow
• Must be adaptable and be willing to take constructive criticism
• Ability to multitask and prioritize
• Ability to work in a stressful and fast-paced environment
• Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
• Ability to type at least 60 words per minute preferred
• Ability to move about and follow a healthcare provider for extended periods of time
• Ability to read, write, comprehend through listening, and speak fluent English
• Must have a computer or access to a computer for virtual/online training
• Background in pre-health sciences, biology, chemistry, biochemistry, kinesiology, or other similar field preferred. No previous clinical experience required

About the role

We are seeking Medical Scribe with a strong interest in medicine. The Medical Scribe works 1:1 with a variety of medical professionals and documents the patient visit in an EHR. As part of our team, you will have the ability to gain experience in different medical specialties while collaborating with a team of young, talented professionals working to revolutionize healthcare.

The Medical Scribe will create medical notes for providers remotely into the EHR from their own homes located in the US. The Medical Scribe is responsible for documenting the history of present illness, past medical and family history, review of systems, physical exam, diagnostic studies, and plan for the providers. ABC Company’s Medical Scribe is also responsible for preparing charts and cards for the provider at the beginning of each day. The Medical Scribe will be required to learn the preferences of a variety of different providers and must pass assessments and quality checks on a regular basis in order to remain assigned to a provider.

Responsibilities

• Assist physicians in documenting the patient’s medical record (EMR)
• Navigate the EMR with the assistance of patient care
• Assist physicians in a variety of specialties including primary care, orthopedics, rheumatology, etc.

Requirements

• Prior clinical experience required such as volunteering, shadowing, clinical research, scribing, paramedic training, or being a medical assistant
• Excellent spelling and typing skills
• Knowledge of medical terminology is highly preferred
• Self-sufficient and quick to learn
• Professional and reliable work ethic
• Successful completion of ABC Company’s RDS Training Program within the first 30 days of employment
• Must have access to a completely private workspace with reliable internet
• Must have consistent availability and ability to work shifts between 5 am to 5 pm PST
• Familiarity with navigating the electronic medical record (EMR) is highly preferred