Medical Scribe: OCW Talega OBGYN

Hoag Health System; San Clemente (CA); On-site; USD 35,000 - 50,000; Full time

Job summary

Hoag Memorial Hospital Presbyterian in Orange County, CA is seeking a Medical Scribe to serve as the physician's assistant for documentation in the EHR, ensuring complete and timely notes. The Scribe accompanies the physician into the exam room to transcribe history, exam findings, and the encounter, documenting procedures and advice given.

The role also involves documenting lab and imaging results, timing of care, physician communications, and patient follow-ups, while transcribing orders and

Qualifications

• High school diploma or equivalent required.
• Minimum six months experience as a Medical Scribe or equivalent training/education.

Responsibilities

• Document physical examination findings and procedures as performed by the physician.
• Document laboratory and radiographic study results as dictated by the physician.
• Document the correct time of patient care related activities and communications.
• List diagnoses, symptoms, follow-up instructions, and prescriptions as dictated by the physician.
• Transcribe patient orders including laboratory results, radiology tests, medications, etc.
• Maintain knowledge of departmental standard operating procedures and assist with other duties as assigned.

Skills

Typing

Transcription

Filing

Phone skills

Communication

Listening

Education

High school diploma

6 months medical scribe experience

Tools

Outlook

EHR system

Job description

Primary Duties And Responsibilities

The Medical Scribe acts as the personal assistant to the physician performing all documentation functions in the EHR system in a complete and timely manner. The Scribe accompanies the Physician into the patient examination room and accurately transcribes the history, physical exam, documents the encounter and others present with the patient at the time. Documents all procedures performed and advice provided by the Physician.

• Document physical examination findings and procedures as performed by the physician.
• Document the results of laboratory and radiographic studies as dictated by the physician.
• Document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
• Lists all proper diagnoses and symptoms as well as follow-up instructions and prescription as dictated by the Physician.

Job Description

Primary Duties And Responsibilities

The Medical Scribe acts as the personal assistant to the physician performing all documentation functions in the EHR system in a complete and timely manner. The Scribe accompanies the Physician into the patient examination room and accurately transcribes the history, physical exam, documents the encounter and others present with the patient at the time. Documents all procedures performed and advice provided by the Physician.

• Document physical examination findings and procedures as performed by the physician.
• Document the results of laboratory and radiographic studies as dictated by the physician.
• Document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
• Lists all proper diagnoses and symptoms as well as follow-up instructions and prescription as dictated by the Physician.
• Transcribes patient orders including laboratory results, radiology tests, medications etc.

The Scribe maintains a working knowledge of departmental standard operating procedures. This knowledge may include the use of specialized instrumentation, Quality Control requirements, and preventive maintenance. Performs other duties as assigned.

Qualifications

Education and Experience

• High school graduate or equivalent
• Minimum six (6) month’s experience as a Medical Scribe, or equivalent training, experience, and education
• Working knowledge of The EHR system and Outlook required
• Ability to Read/Interpret documents, write reports/correspondence, speak concisely and clearly.
• Ability to Listen effectively and interface with the Public required
• Fast, accurate typing, transcription skills, filing, and phone skills required

License Required

• N/A

License Preferred

• N/A

Certifications Required

• N/A

Certifications Preferred

• BLS - AHA Basic Life Support

About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/ .

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.