Lead Medical Scribe

BoulderCentre for Orthopedics and Spine•Boulder, CO

38d•$19 - $23•Onsite

About The Position

Boulder Centre for Orthopedics & Spine is seeking a detail-oriented and motivated Medical Scribe to join their Clinical team. This role involves working closely with physicians in a fast-paced outpatient orthopedic setting, providing real-time documentation and administrative support. The ideal candidate will be organized, proactive, and comfortable working with an electronic health record (EHR), playing an important role in keeping the clinic running smoothly by anticipating physician needs, maintaining accurate documentation, and handling sensitive patient information with professionalism and discretion. The position offers a predictable Monday–Friday clinic schedule with no evenings, weekends, holidays, or on-call responsibilities. The outpatient orthopedic clinics are closed for 7 major holidays, with holiday pay available to eligible employees. This is a clinical role where employees can build skills, work closely with physicians, and maintain a consistent schedule.

Requirements

High school diploma or equivalent.
At least one year of recent experience in a medical setting as a Medical Scribe or Medical Assistant; OR documented completion of an externship in a medical office.
Strong attention to detail and accuracy.
Excellent organizational and time-management skills.
Ability to work independently and anticipate the needs of physicians.
Strong written and verbal communication skills.
Ability to maintain confidentiality and exercise sound judgment in a clinical environment.
Comfort learning and working with electronic health records and other technology.

Nice To Haves

Some college coursework.
Orthopedic or other specialty-clinic experience.
Familiarity with medical terminology, billing, coding, or clinical documentation.

Responsibilities

Accurately and thoroughly document patient visits and procedures in the electronic health record (EHR) in real time.
Document patient medical histories, physical examinations, diagnoses, treatments, procedures, and follow-up instructions.
Record physician and physician assistant documentation, including patient education and explanations of treatment risks and benefits.
Document physician-dictated diagnoses, prescriptions, treatment plans, and instructions for patients and families.
Ensure clinical data, laboratory results, diagnostic testing, and physician interpretations are accurately recorded in the medical record.
Alert the physician when documentation or charts are incomplete.
Review medical documentation for accuracy, spelling, punctuation, grammar, and completeness.
Identify potential documentation errors or inconsistencies and work with the physician to correct them in accordance with established procedures.
Anticipate physician needs and help facilitate an efficient flow of the clinic.
Research referring physician contact information and assist with coordinating referrals.
Prepare operative reports and other medical documentation as needed.
Make phone calls and complete other clerical tasks to support the physician and clinical team.
Assist with patient follow-up and compliance tracking.
Collect, organize, and maintain data for physician quality reporting and other quality improvement initiatives.
Maintain strict confidentiality of patient information and comply with HIPAA and all applicable privacy and regulatory requirements.
Follow established standards for medical documentation and recordkeeping.
Attend training related to EHR/IT systems, HIPAA, legal and regulatory compliance, billing and coding, and other areas relevant to the role.
Quickly learn and apply new information, processes, and technology.
Follow all organizational policies and procedures, including the Code of Conduct and Mission, Vision, and Values.
Perform other duties as assigned.