Use this Medical Scribe job description template to promote your job openings and attract qualified candidates. Customize the job brief, responsibilities, requirements, and skills according to your specific needs.
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Job Brief
We are seeking a highly organized and detail-oriented Medical Scribe to join our healthcare team. The Medical Scribe plays a crucial role in healthcare settings by ensuring accurate and timely documentation of patient interactions, which allows healthcare providers to focus more on patient care. This position requires a blend of medical knowledge, strong documentation skills, and attention to detail. The ideal candidate will have excellent documentation skills, a solid understanding of medical terminology, and the ability to work in a fast-paced environment.
Responsibilities
- Prepare and assemble medical record documentation and charts for physicians.
- Enter patient rooms with physicians during visits to capture and transcribe medical documentation using electronic medical record applications.
- Update patient history, physical exams, and other pertinent health information in medical records.
- Ensure compliance with medical record documentation standards and hospital policies, including HIPAA and Joint Commission regulations.
- Prepare and send documentation to physicians for review and approval, adhering to detailed data entry and facility-specific procedures.
- Monitor the duration of basic lab results and screening procedures.
- Facilitate diagnostic tests and referrals to medical specialists as needed.
- Assist physicians with fundamental patient care tasks and maintain a clean and professional working environment.
- Take notes during patient visits and document them accurately in the electronic health records system.
- Assist with the training of newly hired Medical Scribes and perform additional clerical duties to improve provider productivity and clinic workflow.
Requirements and Skills
- Proven work experience as a Medical Scribe or in a similar documentation role.
- Proficiency in medical terminology and electronic health record systems.
- Excellent typing skills and attention to detail for accurate documentation.
- Strong organizational and time management skills to handle multiple tasks efficiently.
- Advanced computer skills, including proficiency in Microsoft Office and medical record software.
- Excellent written and verbal communication skills, with the ability to interact professionally with patients and healthcare providers.
- High school diploma, GED, or equivalent; a Bachelor’s degree in a healthcare field is preferred.
- Ability to maintain patient confidentiality and handle sensitive information with discretion.
- Strong interpersonal skills and good bedside manner to effectively communicate with patients and support healthcare providers.
- Ability to work effectively under pressure and manage high-volume documentation tasks.
Frequently Asked Questions
What does a Medical Scribe do?
A Medical Scribe documents patient encounters, records medical histories, assists with administrative tasks, updates electronic health records (EHR) systems, ensures compliance with healthcare regulations, and manages patient records.
What should you look for in a Medical Scribe resume?
When reviewing a Medical Scribe resume, consider:
- Relevant Experience: Demonstrated experience as a Medical Scribe or in a similar role involving medical documentation and patient interaction.
- Proficiency with Medical Terminology: Knowledge of medical terminology and familiarity with electronic health record (EHR) systems for accurate documentation.
- Typing and Documentation Skills: Strong typing skills with attention to detail for accurate and timely documentation of patient visits and medical information.
- Communication Skills: Excellent written and verbal communication abilities, with evidence of effective interaction with physicians, patients, and other healthcare professionals.
- Organizational Abilities: Ability to manage multiple tasks efficiently, including handling high-pressure situations and maintaining accurate medical records.