Medical Scribe

Oak Street Health, part of CVS Health; Waterbury (CT); On-site; USD 48,711,936 - 89,687,270; Full time

Job summary

Oak Street Health in Waterbury, CT is seeking a Medical Scribe to support primary care providers with real-time clinical documentation, observe visits in the exam room, and assist with after-visit summaries.

The role focuses on accurate, timely documentation within a value-based care model, with extensive on‑the‑job training in clinical workflows and population health data. Strong communication and computer skills are essential for success in this full-time clinical setting.

Qualifications

• Knowledge of medical terminology and common medications [required]
• Prior clinical experience, including shadowing and/or volunteering [strongly preferred]
• Prior scribe or transcription experience [preferred but not required]

Responsibilities

• Documenting patient encounters in a structured note including HPI, assessment, plan, and physical exam
• Assigning appropriate CPT and ICD‑10 codes
• Preparing After Visit Summaries
• Consulting with provider to ensure accurate and specific documentation
• Reviewing medical records and leveraging population health tools to support documentation
• Supporting Daily Huddles and Clinical Documentation Reviews
• Placing orders and referrals
• Addressing tasks
• Other duties as assigned

Skills

Advanced listening and communication

Strong computer literacy

Fluency in languages

Job description

Title

Medical Scribe

Company

Oak Street Health

Role Description

The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey—huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value‑based care model and the documentation and care of chronic conditions, including ICD‑10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on‑the‑job training in clinical workflows, value‑based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team‑based care.

Responsibilities

• Documenting Patient Encounters ~ 80%
  • Joining the provider in the exam room to observe patient visits
  • Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam
  • Assigning appropriate CPT and ICD‑10 codes
  • Preparing After Visit Summaries
  • Consulting with provider to ensure accurate and specific documentation
• Clinical Documentation Improvement ~ 10%
  • Requesting and reviewing medical records
  • Leveraging Oak Street's population health tools to support clinical documentation improvement
  • Preparing for and supporting Daily Huddles and Clinical Documentation Reviews
  • Consulting with provider on clinical documentation opportunities
• Administrative support for your provider and care team ~ 10%
  • Placing orders and referrals
  • Addressing tasks
  • Supporting the care team with additional responsibilities related to clinical documentation
• Other duties as assigned

What We’re Looking For

Knowledge

• Knowledge of medical terminology and common medications, either from a pre‑medical degree or prior clinical experience [required]
• Prior clinical experience, including shadowing and/or volunteering [strongly preferred]
• Prior scribe or transcription experience [preferred but not required]

Skills

• Advanced listening and communication skills [required]
• Strong computer literacy and ability to learn new technical workflows [required]
• Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated]

Abilities

• Ability to adapt to new workflows and to quickly learn new concepts and skills [required]
• Ability to type 70+ words per minute [strongly preferred]
• Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required]
• Ability to be a self‑starter within your role scope
• Excellent job attendance including ability to work in‑person in our clinics (Our providers count on you.) [required]
• Ability to commit to at least 1 year in role (2+ is ideal) [required]
• Ability to work approximately 40‑45 hours per week during clinic hours (full time position) with predictable hours and break times [required]
• Compliance with hospital and Oak Street Health policies, including HIPAA [required]
• US work authorization [required]

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is $17.00 – $31.30 per hour. This range represents the base hourly rate for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Benefits

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Equal Employment Opportunity Statement

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.