Family Medicine Scribe — Real-Time Medical Documentation Pro

One Brooklyn Health System Inc.; New York (NY); On-site; USD 25,000 - 30,000; Full time

Job summary

One Brooklyn Health System Inc. is seeking a Family Medicine Scribe to support physicians by documenting patient encounters, medical histories, examinations, and treatment plans in real time within a busy family medicine practice.

Responsibilities include EHR data entry, chart management, coding assistance, and collaboration with nurses and admin staff while upholding HIPAA and confidentiality standards. Flexible hours encouraged in a fast-paced clinical environment.

Qualifications

• Proficiency in medical terminology and EHR usage.
• Strong communication, attention to detail, and multitasking.
• Willingness to work flexible hours in a clinical setting.

Responsibilities

• Documentation: Record detailed and accurate medical history, physical exam findings, assessments, treatment plans, and other pertinent information provided by the family medicine physician.
• Chart Management: Maintain electronic health records (EHR) by entering data in an organized and timely manner, ensuring compliance with regulatory requirements and practice standards.
• Communication: Facilitate effective communication between the physician and patients by assisting in patient education, conveying instructions, and addressing inquiries under the physician's direction.
• Coding Assistance: Assist in assigning appropriate medical codes to patient encounters for billing and reimbursement purposes.
• Team Collaboration: Collaborate with the medical team, including physicians, nurses, and administrative staff, to support efficient workflow and high-quality patient care.
• Confidentiality: Maintain strict confidentiality of patient information and adhere to HIPAA regulations to ensure patient privacy and data security.
• Quality Assurance: Participate in quality improvement initiatives to enhance documentation accuracy, completeness, and overall practice efficiency.
• Training and Development: Stay updated on family medicine terminology, procedures, and EMR systems through continuous learning and professional development activities.
• All other duties as requested.

Skills

Medical terminology

EHR systems

Communication skills

Attention to detail

Multitasking

Organization

Flexibility

Education

High school diploma or equivalent

Bachelor’s degree or healthcare-related certification

Job description

One Brooklyn Health System Inc. is seeking a Family Medicine Scribe to support physicians by documenting patient encounters, medical histories, examinations, and treatment plans in real time within a busy family medicine practice.

Responsibilities include EHR data entry, chart management, coding assistance, and collaboration with nurses and admin staff while upholding HIPAA and confidentiality standards. Flexible hours encouraged in a fast-paced clinical environment.