Medical Scribe - Interpreter - PACE

Neighborhood Healthcare•Riverside, CA

3d•$25 - $35

About The Position

The Medical Scribe increases electronic medical record (EMR) efficiency, productivity, and accuracy for providers by documenting dictated or written information related to patient treatment. The role also facilitates communication between limited English-speaking patients and providers, nurses, laboratory technicians, and other clinical staff. The schedule is Monday through Friday, 8 a.m. to 5 p.m. The position combines medical scribe and healthcare interpreter duties in Neighborhood Healthcare PACE. It supports providers during patient visits, documents clinical information and orders, helps patients understand treatment plans, coordinates clinic workflows, and assists with care coordination and quality assurance. The role also supports interdisciplinary and family meetings, maintains documentation accuracy, and handles confidential patient information in accordance with HIPAA and organizational policies.

Requirements

High school diploma or GED.
Current Basic Life Support (BLS) certification upon hire, maintained as a condition of employment; courses must follow AHA guidelines or meet recognized equivalent BLS standards.
Current CPR and First Aid certification, as required for PACE employees; First Aid training is provided at onboarding and must be renewed annually.
Bilingual English/Spanish speaking, reading, and writing skills.
Excellent verbal and written communication, composition, and proofreading skills.
Ability to type at least 55 words per minute.
Ability to carry out work in a distraction-free environment.
Ability to interpret instructions in written, oral, diagram, or schedule form.
Knowledge of and experience with EMR templates and documentation techniques.
Knowledge of medical terminology, anatomy, and physiology.
Ability to manage multiple tasks simultaneously.
Strong planning and organizational ability.
Ability to work independently and as part of a team.
Ability to handle highly confidential information professionally and ethically.
Ability to lift or carry 5 pounds and stand for long periods.
Ability to follow organizational safety, infection-control, privacy, and compliance procedures.

Nice To Haves

Bachelor’s degree.
Healthcare Interpreter Certification.
One year of medical scribe experience in an outpatient clinic setting.
Experience using electronic medical record systems.

Responsibilities

Document each patient’s medical chart during provider visits.
Transcribe patient histories and physical examinations as provided by patients and providers.
Document procedures performed by providers or nurses in patient medical charts.
Use EHR tools to aggregate data for statistical reports and support efficiency and accuracy.
Transcribe consultations and discussions involving family members and providers, including electronic signatures on changes to progress notes.
Order laboratory tests, diagnostic imaging, and specialty referrals.
Transcribe laboratory, X-ray, and other evaluation results into patient medical charts.
Follow up on pending results so providers can finalize patient workups.
Document diagnoses, follow-up instructions, and prescriptions as directed by clinicians.
Train new hires, including shadowing after three months of employment when competency is demonstrated.
Attend mandatory trainings with organizational departments.
Interpret and facilitate communication between patients and providers, nurses, medical assistants, laboratory technicians, and other clinical team members.
Ensure patients understand provider-described treatment plans and clarify discrepancies.
Adapt to provider workflow preferences and review patient charts in preparation for scheduled appointments.
Communicate treatment plans, laboratory results, referrals, and other chart information to patients in accordance with HIPAA standards.
Review documented patient encounters weekly to check completion of provider-ordered prescriptions, diagnostic studies, referrals, and follow-up orders.
Support clinical protocol compliance, care coordination, and quality assurance by identifying and addressing documentation or follow-through gaps.
Serve as scribe for weekly Interdisciplinary Team morning meetings and family meetings as needed.
Attend monthly coding and documentation training sessions.
Create and prepare charting templates at provider request.
Translate imaging and laboratory results from English to Spanish for Spanish-speaking participants requesting physical copies.
Coordinate providers and clinic staff to support efficient participant flow, timely documentation, and fewer delays.
Assist providers in navigating the electronic health record and locating encounters, test results, and outside records.
Notify providers about pending items and system alerts.
Assist with scheduling and rescheduling appointments.
Recognize potential communication barriers that may affect the patient experience.
Follow safety procedures, report injuries and unsafe conditions, use appropriate body mechanics, and follow infection-control and blood-borne pathogen protocols.
Maintain patient, employee, and volunteer privacy; access confidential information only as needed for business purposes.
Comply with corporate integrity and security requirements and report unethical, fraudulent, or unlawful activity.