Medical Scribe
About The Position
The Medical Scribe, also called a Clinical Informatics Specialist (CIS), supports Oak Street Health primary care providers by providing clinical documentation assistance throughout the patient care journey. Scribes participate in morning huddles, observe and document patient visits in the exam room, and follow up after visits to assist with next steps. They document patient encounters in real time and help providers maintain accurate, specific, and timely records, including documentation related to chronic conditions, ICD-10, CPT coding, and value-based care. Scribes also help identify and close care gaps, support clinical documentation improvement, and receive extensive on-the-job training in clinical workflows, value-based medicine, preventive care, population health data, and team-based care. The role is full time, in person in clinics, and involves approximately 40–45 hours per week during clinic hours. Candidates should be prepared to commit at least one year to the role; two or more years is 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 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 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.
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.
- Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities served, where indicated.
Responsibilities
- Join providers in exam rooms 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 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, dental, and vision coverage, based on eligibility.
- Paid time off.
- Retirement savings options.
- Wellness programs and other resources, based on eligibility.
- Eligibility for a CVS Health bonus, commission, or short-term incentive program.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
