Medical Scribe

Suvida Healthcare; Georgia; On-site; USD 70,000 - 110,000; Full time

Job summary

Suvida Healthcare seeks a Clinical Informatics Specialist to collaborate with primary care providers and ensure accurate, efficient documentation during patient encounters. You will record histories, exams, tests, and plans into the EHR to support clinicians and patient care.

Responsibilities include real-time chart entry, EHR navigation, coding accuracy with ICD-10/CPT, and coordination with the coding team. Strong bilingual English/Spanish communication and HIPAA compliance are essential.

Qualifications

• Minimum of 2 years of clinical experience.
• Familiarity with medical terminology, anatomy, and physiology is plus.
• Medical Scribe experience preferred but not obligatory.
• Proficiency in electronic health record (EHR) systems.
• Strong typing and computer proficiency.
• Effective written and verbal communication skills.
• Ability to thrive in a fast-paced clinical environment with accuracy.
• Strong organizational and time-management skills.
• Willingness to move between Neighborhood Centers as needed.
• Proficiency in English and Spanish is required.

Responsibilities

• Document patient encounters and input histories, exams, tests, and plans in real time.
• Navigate and manage EHR systems ensuring compliant documentation.
• Review and organize patient charts for accuracy and completeness.
• Serve as liaison between providers and team for information requests.
• Enter ICD-10 and CPT codes for diagnoses and services.
• Coordinate with coding team to resolve documentation queries.
• Prepare morning huddle with reviewed charts and data.
• Oversee quality metrics measurement, analysis, and reporting.
• Support population health efforts and chronic care enrollment.
• Stay updated on evidence-based protocols and share updates.
• Maintain patient confidentiality and HIPAA compliance.

Skills

Clinical Experience

Medical Knowledge

Medical Scribe Experience

EHR Proficiency

Technical Skills

Communication

Adaptability

Organizational Skills

Mobility

Bilingual/Multicultural

Education

Bachelor's degree in healthcare

Job description

What You'll Do

Position Summary

The Clinical Informatics Specialist (CIS) collaborates with Suvida Healthcare primary care providers and assumes a vital role within the Care Team. The primary focus is on ensuring the accuracy and efficiency of medical documentation during patient encounters. Working closely with primary care providers, the CISscribesand records medical histories, physical examinations, diagnostic tests, treatment plans, and other pertinent information into electronic health record (EHR) systems. The CIS's support empowers healthcare professionals to allocate more time to patient care while maintaining comprehensive and precise patient records.

Responsibilities

• Patient Encounter Documentation :Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time.

• EHR Management :Navigate and proficiently utilize electronic health record (EHR) systems to input and manage patient data, ensuring that all documentation adheres to compliance and confidentiality standards.

• Chart Review :Regularly review and organize patient charts, ensuring completeness and accuracy of information, and addressing inconsistencies or discrepancies.

• Effective Communication :Act as a liaison between healthcare providers and other team members, facilitating the exchange of important information, requests, and follow-up instructions.

• Data Entry and Coding :Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services provided during patient encounters.

• Liaison for Documentation Queries :Serve as a liaison between the coding team and providers to ensure the timely resolution of documentation queries.

• Morning Huddle Preparation :Conduct thorough research of patients’ historical charts and external data to enhance the morning huddle presentation.

• Quality Metrics Management :Oversee measurement, analysis, and reporting of healthcare quality metrics. Identify and close gaps in care to ensure optimal outcomes.

• Population Health Optimization :Analyze population health and coding strategies to enhance patient stratification, identifying at-risk patients and assisting in enrolling them in chronic care management protocols.

• Evidence-Based Research :Stay updated on evidence-based medical protocols and provide revised data to the care team.

• Maintain Confidentiality :Adhere to strict patient privacy and confidentiality regulations (e.g., HIPAA) and ensure that all patient data is handled with the utmost discretion.

What You'll Bring

Knowledge, Skills, and Abilities

• Clinical Experience :Minimum of 2 years of clinical experience.

• Medical Knowledge :Familiarity with medical terminology, anatomy, and physiology is plus.

• Medical Scribe Experience :Prior experience as a Medical Scribe is preferred, though not obligatory.

• EHR Proficiency :Ability to efficiently use electronic health record (EHR) systems.

• Technical Skills :Strong typing skills and advanced computer proficiency.

• Communication :Effective written and verbal communication skills.

• Adaptability :Ability to thrive in a fast-paced clinical environment with a commitment to accuracy.

• Organizational Skills :Strong organizational skills, effective time management, and problem-solving capabilities.

• Mobility :Willingness to move between Neighborhood Centers as needed.

• Bilingual/Multicultural :Proficiency in both English and Spanish is required.

Education, Experience, Licensure, or Certification Requirements

• Education :Bachelor’s degree in a healthcare-related field, preferred.

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.