Medical Scribe

Altru Health System; Grand Forks (ND); On-site; USD 2,066,000 - 2,067,000; Full time

Benefits offered by this job

Health plan

401(k) retirement plan

Dental plan

Vision plan

Life and disability insurance

Education assistance

Paid time off (PTO)

Job summary

Altru Health System is seeking a medical scribe in Grand Forks to support patient care through precise documentation and effective communication with physicians and staff.

Responsibilities include documenting encounters, reviewing histories, and helping manage patient assignments to physicians while maintaining accurate time records and compliance with safety policies.

Qualifications

• This role requires current Nurse Aide certification and BLS.
• Proficient in medical terminology and documentation standards.

Responsibilities

• Document patient encounters thoroughly (HPI, ROS, PE, meds).
• Review past medical history, immunizations, and prior records.
• Assist physicians in assigning patients and documenting times.
• Communicate updates from staff to physicians to aid triage.
• Ensure compliance with safety policies and hospital guidelines.
• Support department workflow and patient experience.

Skills

Medical documentation

Clinical terminology

Patient communication

Team coordination

Education

Nurse Aide certification

BLS certification

Tools

EHR software

Medical records system

Job description

Location:

Altru Hospital1200 South Columbia RoadGrand Forks, ND 58201Pay Range: $15.50 - $23.22

Summary:

The medical scribe is responsible for supporting the organization's commitment to patient care and assisting physicians within Altru. The medical scribe demonstrates knowledge of medical documentation, clinical terminology, and facilitates communication between hospital staff to improve quality of life and efficiency within the department. The medical scribe performs thorough documentation of patient encounters, assignment of physicians to patients, and updates status of patients to ensure optimal patient experience and to alleviate physician workload.

Essential Job Functions:

• Performs thorough documentation of patient encounters, which includes history of present illness (HPI), patient chart or prescription medication review, review of systems (ROS), physical examinations (PE), electrocardiogram results (EKG) dictated by the physician, and discharge or hospital admission orders.

• Demonstrates knowledge and understanding of medical documentation and terminology, as well as pertinent safety, health, and environmental policies, procedures, and guidelines. Works safely, without causing harm or risk to self, others, or property. Reports unsafe practices, procedures, accidents, injuries, or other safety violations to the leader.

• Demonstrates improved department organization and workflow by providing updates from hospital staff, informing physicians of patients to be seen, suggests input of workup orders, and providing lab and imaging results.

• Assists the physician in reviewing past medical, immunization, surgical, and prior encounter history.

• Assists in assignment of physicians to patients and ensure accurate time documentation of patient interactions.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Certification:

• Nurse Aide | North Dakota Board of Health | Within 4 Months of Start Date | HR Primary Sources

• Basic Life Support (BLS) | American Heart Association (AHA) | Within 90 days of Start Date | Learning Management System

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

• Sit: Frequently (34-66%)
• Stand: Frequently (34-66%)
• Walk: Frequently (34-66%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Rarely (1-4%)
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (<10 pounds)
• Carry: Sedentary (<10 pounds)
• Push/Pull: Sedentary (<10 pounds)
• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent DriverReference ID: R8169

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)