LPN - Medical Scribe

Community Health Systems; Poplar Bluff (MO); On-site; USD 35,000 - 45,000; Full time

Job summary

Community Health Systems is seeking a Medical Scribe in Poplar Bluff, Missouri. This role is essential for documenting patient encounters accurately, allowing healthcare providers to focus on patient care. The Medical Scribe will maintain and organize patient records in the EHR system, ensuring compliance with healthcare regulations.

Ideal candidates will have coursework in medical terminology or anatomy, strong attention to detail, and excellent communication skills. This position supports efficient clinical workflows and enhances patient care.

Qualifications

• 0-2 years of experience in a healthcare setting preferred.
• Experience in medical scribing or healthcare documentation is beneficial.

Responsibilities

• Document patient histories, physical exams, and treatment plans in real-time.
• Ensure medical records are accurate, complete, and compliant with standards.
• Coordinate communication between patients and healthcare providers.

Skills

Medical terminology knowledge

Attention to detail

Written and verbal communication skills

Time management

Computer skills

Education

Coursework in medical terminology or anatomy

Healthcare documentation experience

Job description

Job Summary

The Medical Scribe is responsible for documenting patient encounters and assisting healthcare providers by accurately recording medical histories, examination findings, treatment plans, and other relevant information during patient visits. This role ensures that medical records are complete, accurate, and compliant with regulatory standards, allowing healthcare providers to focus on patient care and improving clinical efficiency.

Essential Functions

• Provides support to physicians and healthcare providers by documenting medical information, reducing their clerical workload.
• Accurately and efficiently documents patient histories, physical exams, diagnoses, treatment plans, and other relevant information during patient visits in real‑time.
• Identifies and clarifies inconsistencies, discrepancies, and inaccuracies in medical dictation, editing as necessary to ensure accuracy without altering the provider's intent.
• Records all physician‑patient interactions, including medical notes, lab results, medications, and follow‑up instructions, in the electronic health record (EHR) system.
• Maintains and organizes patient records in the EHR system, ensuring proper coding, compliance, and documentation practices.
• Reviews and updates patient charts before the physician enters the room to ensure all relevant information is accurate.
• Relays important information between patients and healthcare providers, as well as coordinate communication with other healthcare professionals as needed.
• Adheres to healthcare regulations, including HIPAA, to maintain the confidentiality and privacy of patient information.
• Documents lab results, imaging studies, and diagnostic tests in patient records promptly.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Coursework in medical terminology, anatomy, or healthcare documentation preferred.
• 0-2 years of experience in a healthcare setting with experience in medical scribing or healthcare documentation preferred.

Knowledge, Skills and Abilities

• Proficient knowledge of medical terminology and human anatomy.
• Strong attention to detail and accuracy in documentation.
• Excellent written and verbal communication skills to facilitate effective documentation.
• Ability to manage time effectively and work efficiently in a fast‑paced clinical environment.
• Basic computer skills, including familiarity with EHR or healthcare documentation software.