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Medical Scribe - Interpreter - PACE

Neighborhood Healthcare•Riverside, CA

About The Position

The Medical Scribe increases electronic medical record (EMR) efficiency, productivity, and accuracy for providers by documenting dictated or written information related to patient care. The role also facilitates communication between limited English-speaking patients and providers, nurses, laboratory technicians, and other clinical staff. The position supports patient visits and care coordination in Neighborhood Healthcare’s PACE program, which serves seniors and aims to help participants maintain their health and quality of life at home. The role includes documenting histories, examinations, procedures, consultations, results, diagnoses, prescriptions, and follow-up instructions in patient charts; using EHR tools and supporting clinic workflows; interpreting and conveying treatment-related information; and helping ensure that ordered care and documentation are completed. The position also supports interdisciplinary and family meetings, documentation quality, and compliance with privacy, safety, and infection-control procedures. Schedule: Monday–Friday, 8 a.m.–5 p.m.

Requirements

  • High school diploma or GED.
  • Current Basic Life Support (BLS) certification upon hire, maintained as a condition of employment, following AHA guidelines or recognized equivalent standards.
  • Current CPR and First Aid certification, as required for PACE employees under CMS and DHCS requirements; First Aid training is provided at onboarding and must be renewed annually.
  • Bilingual English/Spanish speaking, reading, and writing ability.
  • Excellent verbal and written communication skills, including strong composition and proofreading skills.
  • Ability to type at least 55 words per minute.
  • Ability to perform work in a distraction-free environment.
  • Ability to interpret instructions presented in written, oral, diagram, or schedule form.
  • Knowledge of and experience with EMR templates and documentation techniques.
  • Knowledge of medical terminology, anatomy, and physiology.
  • Ability to manage multiple tasks simultaneously.
  • Strong planning and organizational ability.
  • Ability to work both independently and as part of a team.
  • Ability to handle highly confidential information professionally and ethically.
  • Ability to lift or carry 5 pounds and stand for long periods.

Nice To Haves

  • Bachelor’s degree.
  • Healthcare Interpreter Certification.
  • One year of medical scribe experience in an outpatient clinic setting.
  • Experience using electronic medical record systems.

Responsibilities

  • Assist providers with documenting each patient’s medical chart during visits.
  • Transcribe patient histories and physical examinations as provided by the patient and provider.
  • Document procedures performed by providers or nurses in patient medical charts.
  • Use EHR tools to aggregate data for statistical reports and support efficiency and accuracy.
  • Transcribe consultations and discussions involving family members and providers, including electronic signatures on changes to patient progress notes.
  • Order laboratory tests, diagnostic imaging, and specialty referrals.
  • Transcribe laboratory, X-ray, and other evaluation results in patient charts and follow up on pending results to finalize provider workups.
  • Document diagnoses, follow-up instructions, and prescriptions as dictated by the clinician.
  • Train new hires, including providing shadowing after three months of employment when competency is demonstrated.
  • Attend mandatory organizational trainings and monthly coding and documentation training sessions.
  • Facilitate communication between patients and providers, nurses, medical assistants, laboratory technicians, and other clinical team members.
  • Ensure patients understand provider-described treatment plans and clarify discrepancies.
  • Adapt to provider workflow preferences and proactively review patient charts before scheduled appointments.
  • Communicate treatment plans, laboratory results, referrals, and other chart information to patients in accordance with HIPAA standards.
  • Conduct weekly reviews of documented patient encounters to verify completion of provider-ordered prescriptions, diagnostic studies, referrals, and follow-up orders.
  • Support clinical protocols, care coordination, and quality assurance by identifying and addressing documentation or follow-through gaps.
  • Serve as scribe for weekly Interdisciplinary Team morning meetings and family meetings as needed.
  • Create and prepare charting templates at providers’ request.
  • Translate imaging and laboratory results from English to Spanish for Spanish-speaking participants requesting physical copies.
  • Coordinate between providers and clinic staff to support efficient participant flow, timely documentation, and fewer delays.
  • Assist providers with navigating the EHR and locating encounters, test results, and outside records.
  • Notify providers about pending items and system alerts.
  • Assist with scheduling and rescheduling appointments.
  • Recognize potential communication barriers that could affect the patient experience.
  • Follow safety procedures, report injuries and unsafe conditions, and maintain knowledge of safe-work policies.
  • Use appropriate body mechanics, follow infection-control and blood-borne pathogen procedures, and know the locations of emergency exits and the nearest fire extinguisher.
  • Protect confidential patient, employee, and volunteer information and access it only as needed for business purposes.
  • Comply with corporate integrity and security requirements and report unethical, fraudulent, or unlawful behavior or activity.

Benefits

  • Partially company-paid medical, dental, and vision plans.
  • More than two weeks of vacation.
  • Nine holidays, including two floating holidays of the employee’s choosing.
  • Sick and personal time.
  • Volunteer Time Off (VTO).
  • 403(b) retirement plan similar to a 401(k).
  • Optional health and wellness events.

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