Medical Scribe

Altru Health System; United States; On-site; USD 21,000 - 32,000; 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

Job summary

Altru Health System is seeking a medical scribe to support physicians by documenting patient encounters, reviewing medical history, and updating patient status to improve workflow and patient experience.

The role emphasizes strong knowledge of medical terminology and documentation, English proficiency, and collaboration with hospital staff. Training and safety adherence are essential to ensure accurate records and efficient care delivery.

Qualifications

• Knowledge of medical documentation and terminology.
• Proficiency in reading, writing, and speaking English for communication.
• Ability to promote safety and follow policies.
• Ability to update physicians and hospital staff on patient status.

Responsibilities

• Document patient encounters thoroughly (history, ROS, PE) as dictated by physician.
• Assist in patient assignments and time documentation of interactions.
• Review past medical history, immunizations, and prior encounters.
• Support physician by providing lab and imaging results and updates.

Skills

Medical terminology

Medical documentation

English proficiency

Team communication

Safety awareness

Education

Nurse Aide certification

Job description

Everything we do is underscored by a why — and that why is one another. Location: Altru Hospital 1200 South Columbia Road Grand Forks, ND 58201 Pay 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 Driver Reference 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)

At Altru, everything we do is underscored by a why—and that why is one another. We believe in the power of community and the difference we can make together. As the trusted healthcare provider in our region, we’re driven by a commitment to quality care and creating a supportive environment where every team member can thrive. Here, you’ll have opportunities to advance your skills, work with the latest technologies, and experience the fulfillment that comes from giving back—taking your career wherever you want it to go. Join our team and be part of a small community with a big heart. Want a closer look at life at Altru? Follow us on our careers social channels to see our people, culture, and impact in action—and stay up to date on new opportunities. Facebook.com/AltruCareers Instagram.com/AltruCareers

Altru provides reasonable accommodations to individuals with disabilities to increase opportunities and eliminate barriers to employment. If you need a reasonable accommodation in the application process to access job postings, to apply for a job, for a job interview, for pre-employment testing, or with the onboarding process, please contact Altru’s Human Resources Department at [e-mail] or 701.780.5107. Altru is an Equal Opportunity Employer. Learn more or to request a copy of our Equal Employment Opportunity and Eligibility policy and Afflliative Action Plan at no charge, please contact Altru’s Human Resources Department at [e-mail] or 701.780.5107. Additionally, the following poster is available through the Department of Labor: Know Your Rights. Altru participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.