Medical Scribe

CVS Health • Fort Wayne, IN

5d • Onsite

About The Position

The Medical Scribe, internally known as a Clinical Informatics Specialist (CIS), supports Oak Street Health primary care providers by creating accurate, specific, and timely clinical documentation so providers can focus on patient care. Scribes support the patient-care journey by preparing with providers during morning huddles, observing and documenting visits in exam rooms, and assisting with follow-up steps after visits. They 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, clinical documentation, population health data, and team-based care. The organization asks candidates to commit at least one year, with two or more years ideal. This full-time, in-person clinic position involves approximately 40–45 hours per week during clinic hours, with predictable hours and breaks.

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 concepts and skills.
• Ability and willingness to take direction and work as part of a patient-care team, including adapting to the provider’s working style.
• Ability to be a self-starter within the scope of the role.
• Excellent job attendance and ability to work in person in clinics.
• Ability to commit at least one year to 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 by people 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 at least 70 words per minute.

Responsibilities

• Join providers in exam rooms to observe patient visits.
• Document patient encounters in structured notes, including the history of present illness, assessment, plan, and physical examination.
• Assign appropriate CPT and ICD-10 codes.
• Prepare After Visit Summaries.
• Consult with providers to ensure documentation is accurate and specific.
• 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 about clinical documentation opportunities.
• Place orders and referrals.
• Address tasks and provide other administrative support to providers and the care team 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 colleagues’ physical, emotional, and financial well-being, based on eligibility
• Eligible 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