Medical Scribe

CVS Health • Pleasant Grove, TX

26d • Onsite

About The Position

The Medical Scribe, internally known as a Clinical Informatics Specialist (CIS), supports Oak Street Health primary care providers with clinical documentation so they can focus on patient care. Scribes participate in the patient care journey by huddling with providers to prepare for the day's visits, observing and documenting encounters in the exam room, and following up after visits to help with next steps. 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, documentation, population health data, and team-based care. Candidates should be prepared to commit 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 work independently 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; 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 exam rooms to observe patient visits and document encounters in real time.
• Create structured notes covering 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 documentation is accurate and specific.
• Request and review medical records.
• Use 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 administrative support to the provider and care team.
• Perform other duties as assigned.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting colleagues' and families' 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