Medical Scribe

Integrated ENT, Allergy and Immunology; Town of Woodbury (NY); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

401(k) Matching

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Employee Discount

Paid Training

Paid Time Off (PTO)

Paid Sick Leave

Professional Development Opportunities

Job summary

Integrated ENT Allergy & Immunology is seeking a Medical Scribe/Medical Assistant to accompany providers during patient visits and document encounters in real time within the EMR.

You will record HPI, ROS, exam findings, follow-up instructions, and coordinate orders, while ensuring accurate billing and maintaining a clean clinical environment. This on-site role in Woodbury, NY offers growth potential and a supportive team.

Qualifications

• High school diploma or equivalent required.
• Minimum of 1 year of experience using an EMR system.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Excellent written documentation and typing skills.
• Strong organizational and time management abilities.
• Ability to multitask and prioritize responsibilities in a fast-paced healthcare environment.
• Excellent verbal and written communication skills.
• Strong attention to detail with a high level of accuracy.
• Proficiency with Microsoft Office and EMR systems.

Responsibilities

• Accompany providers during patient visits and accurately document patient encounters in the EMR in real time.
• Record the patient's history of present illness (HPI), review of systems (ROS), physical examination findings, assessment, treatment plan, and follow-up instructions as directed by the provider.
• Document laboratory, imaging, and diagnostic test results within the patient’s medical record.
• Enter orders for laboratory tests, diagnostic procedures, referrals, and medications as instructed by the provider.
• Process prescription refill requests in accordance with provider instructions.
• Accurately enter billing information based on the services provided during the patient visit.
• Prepare patients for examination by obtaining appropriate information and ensuring examination rooms are ready for use.
• Maintain exam rooms by stocking supplies, preparing equipment, and ensuring a clean, organized clinical environment.
• Assist providers during examinations, procedures, and patient treatments as appropriate.
• Observe, document, and communicate patient concerns or changes in condition to the provider.
• Educate patients on prescribed medications, diagnostic procedures, treatment plans, and wellness recommendations as directed by the provider.
• Instruct patients on specimen collection and preparation for diagnostic testing when appropriate.
• Maintain accurate, timely, and complete patient records in compliance with practice standards.
• Coordinate multiple patient encounters efficiently while maintaining accuracy and attention to detail.
• Report malfunctioning medical equipment or safety concerns to the appropriate supervisor.

Skills

Medical terminology

Documentation

Typing

Organizational skills

Time management

Communication

Attention to detail

Education

High school diploma

Tools

EMR systems

Microsoft Office

Job description

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Key Responsibilities

• Accompany providers during patient visits and accurately document patient encounters in the electronic medical record (EMR) in real time.
• Record the patient's history of present illness (HPI), review of systems (ROS), physical examination findings, assessment, treatment plan, and follow-up instructions as directed by the provider.
• Document laboratory, imaging, and diagnostic test results within the patient's medical record.
• Enter orders for laboratory tests, diagnostic procedures, referrals, and medications as instructed by the provider.
• Process prescription refill requests in accordance with provider instructions.
• Accurately enter billing information based on the services provided during the patient visit.
• Prepare patients for examination by obtaining appropriate information and ensuring examination rooms are ready for use.
• Maintain exam rooms by stocking supplies, preparing equipment, and ensuring a clean, organized clinical environment.
• Assist providers during examinations, procedures, and patient treatments as appropriate.
• Observe, document, and communicate patient concerns or changes in condition to the provider.
• Educate patients on prescribed medications, diagnostic procedures, treatment plans, and wellness recommendations as directed by the provider.
• Instruct patients on specimen collection and preparation for diagnostic testing when appropriate.
• Maintain accurate, timely, and complete patient records in compliance with practice standards.
• Coordinate multiple patient encounters efficiently while maintaining accuracy and attention to detail.
• Report malfunctioning medical equipment or safety concerns to the appropriate supervisor.

Required Qualifications

• High school diploma or equivalent required.
• Minimum of one (1) year of experience using an Electronic Medical Record (EMR) system.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Excellent written documentation and typing skills.
• Strong organizational and time management abilities.
• Ability to multitask and prioritize responsibilities in a fast-paced healthcare environment.
• Excellent verbal and written communication skills.
• Strong attention to detail with a high level of accuracy.
• Proficiency with Microsoft Office and electronic medical record systems.
• Ability to work independently while contributing effectively as part of a multidisciplinary healthcare team.

Preferred Qualifications

• Previous experience as a Medical Scribe, Medical Assistant, or in a clinical healthcare setting.
• Certified Medical Assistant (CMA) certification preferred but not required.
• Familiarity with medical coding, billing documentation, and healthcare administrative workflows.
• Basic Life Support (BLS) certification preferred.

Knowledge, Skills & Competencies

• Strong clinical documentation skills.
• Thorough understanding of HIPAA, OSHA, and patient confidentiality requirements.
• Ability to maintain professionalism under pressure.
• Excellent critical thinking and problem-solving skills.
• Strong interpersonal and customer service skills.
• Ability to adapt quickly to changing priorities.
• Commitment to deliver compassionate, patient-centered care.

Benefits

• 401(k) Matching
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Employee Discount
• Paid Training
• Paid Time Off (PTO)
• Paid Sick Leave
• Professional Development Opportunities

Integrated ENT Allergy & Immunology is an Equal Opportunity Employer and is committed