Medical Scribe

CVS Health•Birmingham, AL

1d•Onsite

About The Position

The purpose of a Medical Scribe (CIS or Medical Scribe) at Oak Street Health is to support primary care providers with clinical documentation so that they can focus on providing exceptional care to patients. Scribes assist providers throughout the patient care journey, including huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. These care team members serve as clinical documentation assistants to their paired provider, internally called CISs (Clinic Informatics Specialists), supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, Scribes become experts in the value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding, using this expertise to help providers identify and close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team-based care. The ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.

Requirements

Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience
Advanced listening and communication skills
Strong computer literacy and ability to learn new technical workflows
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where indicated)
Ability to adapt to new workflows and to quickly learn new concepts and skills
Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style
Excellent job attendance including ability to work in-person in our clinics
Ability to commit to at least 1 year in role
Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times
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+ words per minute

Responsibilities

Joining the provider in the exam room to observe patient visits
Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam
Assigning appropriate CPT and ICD-10 codes
Preparing After Visit Summaries
Consulting with provider to ensure accurate and specific documentation
Requesting and reviewing medical records
Leveraging Oak Street's population health tools to support clinical documentation improvement
Preparing for and supporting Daily Huddles and Clinical Documentation Reviews
Consulting with provider on clinical documentation opportunities
Placing orders and referrals
Addressing tasks
Supporting the care team with additional responsibilities related to clinical documentation
Other duties as assigned