Real-Time Medical Scribe Specialist – EHR & Coding

Sequel Technologies; Saddar; On-site; PKR 520,000 - 780,000; Full time

Job summary

Sequel Technologies in Rawalpindi is seeking a Medical Scribe to document patient encounters in real time within an EHR. You will ensure accurate notes including HPI, ROS, exam findings, and plans, while maintaining HIPAA compliance.

The ideal candidate has MBBS or related medical training, 1–2 years of scribing or clinical documentation experience, and strong English communication to collaborate with US healthcare providers.

Qualifications

• Medical terminology, anatomy, common diagnoses, medications, and clinical documentation.
• Experience using electronic health record systems to enter and update clinical notes.
• Strong written and verbal English skills to communicate with US providers and team members.

Responsibilities

• Document patient encounters accurately and in real time in the electronic health record (EHR), including HPI, ROS, physical findings, assessment, and treatment plans.
• Enter and update clinical notes efficiently in the EHR, navigating charts to locate patient records, lab results, imaging reports, medication lists, and prior notes.
• Prepare accurate, complete notes following provider instructions and documenting only observed or directed content.
• Support order entry, referrals, and results review as directed by the provider.
• Capture documentation elements needed for accurate charge capture (chief complaint, history, exam, medical decision making, time spent).
• Coordinate with coders and billing staff to resolve documentation queries affecting claims.
• Maintain patient privacy and HIPAA compliance in all settings, including remote work.
• Proofread notes for spelling, grammar, and logical consistency before finalizing them.
• Report EHR errors and documentation concerns promptly to supervisor.
• Complete documentation within agreed turnaround times.

Skills

Medical knowledge

EHR proficiency

Attention to detail

Confidentiality

English communication

Education

MBBS or related medical degree

Job description

Sequel Technologies in Rawalpindi is seeking a Medical Scribe to document patient encounters in real time within an EHR. You will ensure accurate notes including HPI, ROS, exam findings, and plans, while maintaining HIPAA compliance.

The ideal candidate has MBBS or related medical training, 1–2 years of scribing or clinical documentation experience, and strong English communication to collaborate with US healthcare providers.