Medical Scribe

CVS Health • Rockford, IL

9d • Onsite

About The Position

The Medical Scribe, referred to internally at Oak Street Health as a Clinical Informatics Specialist (CIS), supports primary care providers with clinical documentation so they can focus on patient care. Scribes participate in the patient care journey by preparing for the day’s visits with providers, observing and documenting patient encounters in the exam room, and assisting with next steps after visits. They help ensure documentation is accurate, specific, and timely, and develop expertise in value-based care, chronic-condition documentation, ICD-10 and CPT coding, and identifying care gaps. The role includes extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, documentation, population health data streams, and team-based care. The position is full time, approximately 40–45 hours per week during clinic hours, with predictable hours and breaks. The role requires in-person work in clinics and a commitment of at least one year, with two or more years considered ideal.

Requirements

• Knowledge of medical terminology and common medications, gained through a pre-medical degree or prior clinical experience.
• Advanced listening and communication skills.
• Strong computer literacy and ability to learn new technical workflows.
• Ability to adapt to new workflows and quickly learn new concepts and skills.
• Ability and willingness to take direction, work as part of a patient-care team, and adapt to the provider’s working style.
• Ability to be a self-starter within the role’s scope.
• Excellent job attendance and ability to work in person in clinics.
• Ability to commit to at least one year in the role; two or more years is ideal.
• Ability to work approximately 40–45 hours per week during clinic hours.
• Compliance with hospital and Oak Street Health policies, including HIPAA.
• US work authorization.
• Fluency in Spanish, Polish, Russian, or other languages spoken in the communities served, where indicated.

Nice To Haves

• Prior clinical experience, including shadowing and/or volunteering.
• Prior scribe or transcription experience.
• Ability to type 70 or more words per minute.

Responsibilities

• Join providers in the exam room to observe patient visits.
• Document patient encounters in structured notes, including history of present illness, assessment, plan, and physical exam.
• Assign appropriate CPT and ICD-10 codes.
• Prepare After Visit Summaries.
• Consult with providers to ensure accurate and specific documentation.
• Request and review medical records.
• Use Oak Street Health population health tools to support clinical documentation improvement.
• Prepare for and support Daily Huddles and Clinical Documentation Reviews.
• Consult with providers on clinical documentation opportunities.
• Place orders and referrals.
• Address tasks and provide administrative support to the provider and care team.
• Support the care team with additional responsibilities related to clinical documentation.
• Perform other duties as assigned.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed