Medical Scribe

Medical Associates Plus; Georgia; On-site; USD 38,000 - 46,000; Full time

Job summary

A leading healthcare provider is seeking a Medical Scribe to support clinical operations by documenting patient encounters in Augusta and Wren, GA. This full-time role requires strong communication skills and attention to detail, where you'll ensure accurate medical documentation and collaborate with clinical staff continuously. Ideal candidates will have a high school diploma and basic CPR certification, with opportunities for professional growth in a fast-paced environment.

Qualifications

• Certification or certification-eligibility through AAMA is preferred.
• Preferred: Two years of undergraduate coursework in related fields.
• Knowledge of Georgia Workers’ Compensation laws preferred.

Responsibilities

• Document medical visits and procedures in real-time.
• Maintain patient confidentiality and comply with legal regulations.
• Prepare and send referral letters as directed by providers.

Skills

Attention to detail

Strong communication skills

Initiative

Education

High school diploma or equivalent

Graduate of a Medical Assistant program

Basic CPR certification

Job description

Medical Associates Plus Richmond County, GA

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Master of Human Resource Management| Certified Six Sigma-White Belt (HR & Healthcare)

This position will travel between Augusta (3 days a week) and Wren (2 days a week.)

Position Summary

The Medical Scribe supports healthcare providers by performing clerical and documentation tasks in a clinical setting. This role is responsible for operating the electronic health record (EHR) system and electronic dictation software, ensuring accurate and timely documentation of patient encounters. The Medical Scribe collaborates with clinical, administrative, technical, and support staff to facilitate effective patient care and continuity of services.

This position requires initiative, attention to detail, strong communication skills, and the ability to work in a fast-paced clinical environment. Medical Scribes must maintain discretion, professionalism, and confidentiality at all times. Excellent attendance and adaptability are essential to success in this role.

Essential Duties and Responsibilities

• Accurately and thoroughly document medical visits and procedures as they occur in real time.
• Record patient medical history, physical examination findings, and provider assessments.
• Document provider-dictated diagnoses, prescriptions, orders, and instructions for patients and families.
• Prepare and send referral letters and supporting documentation as directed by the provider.
• Ensure that letters, reports, and test results are distributed promptly to all providers involved in a patient’s care.
• Comply with all legal, ethical, and regulatory requirements for medical documentation and patient confidentiality (HIPAA).
• Organize, compile, and submit data for quality improvement initiatives, including physician quality reporting systems.
• Maintain MA-level access to the EHR and ensure proper use of the system.
• Proofread and edit all medical documents for accuracy in spelling, punctuation, grammar, and content.
• Attend required training in information technology, legal compliance, HIPAA, billing, coding, and clinical protocols.
• Assist with formatting, organizing, and tracking documentation for regulatory submissions and audits.
• Perform other related duties as assigned to support clinical operations.

Qualifications

Education and Certification

• High school diploma or equivalent required.
• Graduate of a Medical Assistant program preferred.
• Certification or certification-eligibility through AAMA (American Association of Medical Assistants) preferred.
• Basic CPR certification required.
• Preferred: Two years of undergraduate coursework in computers, business, healthcare, or a related field.
• Additional consideration for candidates with training or experience in phlebotomy, EKGs, pharmacology, pulmonary function testing, breath alcohol screening, and audiometric testing.
• Knowledge of Georgia Workers’ Compensation laws and OSHA reporting regulations is preferred.

Physical Requirements

• Regularly required to sit, stand, walk, talk, hear, and use hands to write and type.
• Must be able to reach with arms and hands, occasionally climb, balance, stoop, kneel, crouch, or crawl.
• Must be able to lift and/or move up to 10 pounds.
• Visual abilities required include close vision, depth perception, color vision, and the ability to adjust focus.

Working Conditions

• Work performed in an outpatient primary care clinic with adequate lighting and climate control.
• Frequent exposure to communicable diseases, bodily fluids, and hazardous materials (biological, chemical, and low-level radiation).
• Exposure to “sharps” and unpleasant odors from clinical specimens.
• May work in a windowless environment.
• Frequent moderate noise levels due to phones, equipment, and patient interactions.
• Occasional interactions with patients, family members, or visitors who may be emotionally distressed or agitated.
• Requires moderate physical exertion and prolonged periods of standing or sitting.

Disclaimer

The above statements are intended to describe the general responsibilities and working conditions of the position. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications required. Medical Associates Plus reserves the right to assign additional responsibilities as needed in support of the organization’s mission and operational goals.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

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