Medical Scribe

Medical Scribe Duties

Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:

  • Patient medical history and physical exam.
  • Procedures and treatments performed by healthcare professionals, including nurses and Physicians Assistants.
  • Patient education and explanation of risks and benefits.
  • Physician dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up.
  • Entry of orders and appointment “ticklers” at physician directive.
  • Prepare any other documents as requested by physician.
  • Dictation/faxing/phone calls and clerical tasks.
  • Identify and resolve mistakes or inconsistencies in medical documentation.
  • Proofread and edit all physicians’ medical documents for accuracy, spelling, punctuation, and grammar.
  • Collect, organize and catalog data for physician quality.
  • Attend trainings on subjects such as information technology, legal documentation requirements, HIPAA and regulatory compliance, billing and coding.

Behaviors & Abilities Required

  • Language skills- The ability to write routine reports and correspondence.
  • Understanding of Medical Terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments.
  • Strong Keyboarding
  • Reasoning Ability
  • Strong Computer Skills

Required Qualifications

  • High school diploma or GED certificate
  • Must be proficient in typing and good at spelling, punctuation, grammar and oral communications.
  • Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion.
  • Excellent English Composition skills required to generate professional, polished writing at a high rate of production.
  • Ability to prepare and interpret charts and graphs.
  • Ability to compute ratio and percent.
  • Ability to apply common sense understanding and carry out instructions furnished in written, oral, or diagram form.
  • Ability to apply logic and draw conclusions based on knowledge.
  • Ability to refer to reference materials to problem solve.
  • Ability to learn and use all functions of electronic medical records and transcription software.
  • Accurate data entry.

Please email a note of interest and your resume to This email address is being protected from spambots. You need JavaScript enabled to view it.