Medical Scribe

CVS Health•Montgomery, AL

10d•$17 - $26•Onsite

About The Position

The Medical Scribe supports Oak Street Health primary care providers by documenting clinical encounters and assisting with clinical documentation and related care-team tasks. Scribes huddle with providers to plan the day, join patient visits to observe and document care in real time, and follow up after visits to support next steps. Internally, the role is called Clinic Informatics Specialist (CIS), reflecting its focus on accurate, specific, and timely clinical documentation. Scribes document patient encounters, assign appropriate CPT and ICD-10 codes, prepare After Visit Summaries, and consult with providers to ensure documentation is accurate and specific. They also support documentation improvement in a value-based care model by reviewing records, using population health tools, and participating in daily huddles and clinical documentation reviews. Additional administrative support includes placing orders and referrals, addressing tasks, and assisting the care team with documentation-related responsibilities. 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. Candidates must be able to work in person in clinics and commit to at least one year in the role; two or more years is ideal. The position is full time, with approximately 40–45 hours per week during clinic hours and predictable hours and break times.

Requirements

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 and work as a member of a patient-care team, adapting to the provider’s working style.
Ability to be a self-starter within the scope of the role.
Excellent attendance and ability to work in person in clinics.
Ability to commit to at least one year in the role.
Ability to work approximately 40–45 hours per week during clinic hours, with predictable hours and break times.
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

Knowledge of medical terminology and common medications, through a pre-medical degree or prior clinical experience.
Prior clinical experience, including shadowing and/or volunteering.
Prior scribe or transcription experience.
Ability to type 70 or more words per minute.
Commitment to two or more years in the role is ideal.

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 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’s population health tools to support clinical documentation improvement in a value-based care model.
Prepare for and support Daily Huddles and Clinical Documentation Reviews.
Consult with providers on clinical documentation opportunities.
Place orders and referrals.
Address tasks and support the care team with additional clinical documentation responsibilities.
Perform other duties appropriate to the role.