Medical Assistant – Scribe

EXPRESS PAIN AND URGENT CARE PLLC•San Antonio, TX

21h•Hybrid

About The Position

Medical Assistant – Provider Scribe | Pain Management Full-Time | Monday–Friday, 8:00 AM – 5:00 PM We’re looking for an experienced, detail-oriented Medical Assistant – Scribe to provide direct clinical and documentation support to our physicians and advanced practice providers (MDs, NPs, and PAs). Previous pain management experience is required for this position. This position will travel between Epic Pain Management locations throughout the San Antonio area based on provider schedules and operational needs. Candidates must have reliable transportation and the ability to report to different San Antonio clinic locations as assigned. This is a fast-paced clinical role requiring excellent attention to detail, strong EMR skills, and the ability to accurately document patient encounters in real time. Why Join Epic? At Epic, every patient interaction matters. You’ll work directly with our providers and clinical team to support accurate documentation, efficient patient flow, and high-quality patient care.

Requirements

Previous pain management experience is required
Previous experience as a Medical Assistant in a pain management practice
Medical scribe or provider-scribing experience strongly preferred
Certified or Registered Medical Assistant preferred
Working knowledge of interventional pain management procedures and terminology
Familiarity with pain management injections, spinal levels, procedure follow-ups, imaging, medications, PMP reviews, and UDS documentation
Strong understanding of medical terminology, anatomy, medications, and clinical documentation
Proficiency with electronic medical record (EMR) systems
Strong typing and computer skills with the ability to document accurately in real time
Exceptional attention to detail and documentation accuracy
Strong organizational and multitasking abilities
Excellent written and verbal communication skills
Professional and compassionate patient-service skills
Ability to work directly alongside a provider in a fast-paced clinical environment
Bilingual English/Spanish highly preferred
Dependable, organized, and able to work effectively as part of a clinical team

Nice To Haves

Interventional pain management
Provider scribing
Pain management EMR documentation
Epidural steroid injections (ESIs)
Medial branch blocks
Radiofrequency ablations
Medication management
PMP review and documentation
Urine drug screening (UDS)
Imaging and procedure coordination
Pre-procedure and medical clearance workflows

Responsibilities

Provide direct support to physicians, nurse practitioners, and physician assistants throughout daily patient visits
Review patient charts before the provider encounter to ensure required documentation is complete, including vitals, medications, allergies, medical history, and review of systems (ROS)
Brief the provider on the reason for the patient's visit, including new patient visits, follow-ups, post-operative visits, procedure follow-ups, and medication management
For procedure follow-ups, identify the procedure performed, injection/ESI sequence when applicable, and the patient's reported percentage of pain relief
Prepare and print imaging reports for provider review as requested
Accompany the provider into the exam room during patient encounters
Help maintain efficient patient flow throughout the clinic
Accurately scribe patient encounters in the EMR in real time as directed by the provider
Document physical examination findings communicated by the provider
Accurately update the patient's assessment and plan
Enter or prepare orders as directed by the provider, including procedures, injections, appropriate spinal levels, imaging, medications, and other treatment orders
Enter diagnosis codes based on provider direction and supporting documentation
Review and document Prescription Monitoring Program (PMP) information as required
Review, update, and document urine drug screening (UDS) information as directed
Maintain accurate and timely documentation throughout each patient encounter
Ensure charts are complete and ready for provider review and signature
Support documentation and coordination for interventional pain management procedures
Maintain familiarity with common pain management procedures, including epidural steroid injections (ESIs), medial branch blocks, radiofrequency ablations, and other interventional procedures
Confirm procedure type, location, spinal level, and other required information as directed by the provider
Ensure treatment orders match the assessment and plan documented in the patient's chart
Identify discrepancies between provider documentation and treatment orders and address them before the encounter is completed
Assist with imaging, procedure, and follow-up orders as directed
Accurately document medications and medication changes as directed by the provider
Review PMP information and UDS results as required by the provider
Identify and document patients currently taking blood-thinning medications
Assist with obtaining required medical clearance when a patient may need to discontinue a blood thinner before a procedure
Prepare and fax appropriate clearance documentation to the prescribing provider as directed
Assist with cardiac or other medical clearance coordination when required
Provide patients with appropriate documents and instructions related to procedures, imaging, referrals, and follow-up care
Review and explain pre-procedure instructions
Ensure patients understand how to prepare for upcoming procedures
Communicate provider-directed instructions clearly and professionally
Confirm that treatment orders and patient instructions match the documented treatment plan
Escort patients to check-out once the clinical encounter and required documentation are complete