Medical Scribe

Suvida Healthcare•Austin, TX

13d

About The Position

The Clinical Informatics Specialist (CIS) collaborates with Suvida Healthcare primary care providers and plays a vital role within the Care Team. The primary focus is ensuring accurate and efficient medical documentation during patient encounters. Working closely with primary care providers, the CIS records medical histories, physical examinations, diagnostic tests, treatment plans, and other relevant information in electronic health record (EHR) systems. This support helps healthcare professionals devote more time to patient care while maintaining comprehensive and precise patient records. The CIS also supports chart review, communication among care team members, coding and documentation queries, morning huddle preparation, quality metrics, and population health initiatives. The position requires adherence to patient privacy and confidentiality regulations, including HIPAA, and a willingness to move between Neighborhood Centers as needed.

Requirements

Minimum of 2 years of clinical experience.
Proficiency in both English and Spanish is required.
Ability to efficiently use electronic health record (EHR) systems.
Strong typing skills and advanced computer proficiency.
Effective written and verbal communication skills.
Ability to work in a fast-paced clinical environment while maintaining accuracy.
Strong organizational skills, time management, and problem-solving capabilities.
Willingness to move between Neighborhood Centers as needed.

Nice To Haves

Bachelor’s degree in healthcare or a related field is preferred.
Familiarity with medical terminology, anatomy, and physiology is a plus.
Prior experience as a Medical Scribe is preferred but not required.

Responsibilities

Accompany healthcare providers during patient visits and accurately document relevant medical information in real time, including histories, examinations, diagnostic tests, and treatment plans.
Use EHR systems to enter and manage patient data in accordance with compliance and confidentiality standards.
Review and organize patient charts for completeness and accuracy, and address inconsistencies or discrepancies.
Facilitate communication and information exchange between healthcare providers and other team members, including requests and follow-up instructions.
Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services provided during patient encounters.
Liaise between the coding team and providers to resolve documentation queries promptly.
Research patients’ historical charts and external data to prepare morning huddle presentations.
Measure, analyze, and report healthcare quality metrics; identify and close gaps in care.
Analyze population health and coding strategies to improve patient stratification, identify at-risk patients, and assist with enrollment in chronic care management protocols.
Stay current on evidence-based medical protocols and provide updated information to the care team.
Protect patient privacy and confidentiality and handle patient data discreetly.