Medical Scribe: Real-Time Documentation in Fast-Paced Clinic

HCA Healthcare; North Charleston (SC); On-site; USD 21,000 - 30,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work

Retirement resources

Education support

Fertility and family benefits

Job summary

HCA Healthcare’s CareNow - Rivers Ave location is seeking a Medical Scribe to document patient encounters in real time and help keep patient care moving efficiently. You will enable providers to focus more on patients by handling notes and data entry.

The role requires medical terminology proficiency, strong typing and documentation skills, and a current BLS certificate. Experience in urgent care is preferred; the team collaborates with physicians and APPs in a fast-paced setting.

Qualifications

• High school diploma or GED required.
• One year of experience in a clinical setting with proficiency in medical terminology.
• Strong typing, documentation, and computer skills with exceptional attention to detail.
• Current BLS certification required.
• Associate's or Bachelor's degree, completion of Anatomy & Physiology coursework, Medical Scribe certification, Medical Coding certification, or prior urgent care experience preferred.
• Excellent communication, organizational, and time management skills for a fast-paced clinical environment.

Responsibilities

• Document patient visits in real time by accurately capturing medical histories, physical exam findings, procedures, diagnoses, and treatment plans as dictated by the provider.
• Support provider efficiency by entering orders into the electronic medical record (EMR) exactly as instructed and ensuring documentation is complete and accurate.
• Create and document telephone encounters and other patient communications under the direction of the provider.
• Ensure medical documentation accurately reflects the provider's clinical findings and selected evaluation and management (E&M) level.
• Collaborate closely with physicians and advanced practice providers, escalating clinical questions or documentation concerns promptly for clarification.
• Maintain accurate, organized, and confidential electronic medical records while supporting efficient clinic workflow.

Skills

Medical terminology

Typing

Documentation

EMR entry

Education

High school diploma or GED

Medical Scribe certification

Anatomy & Physiology coursework

Associate's or Bachelor's degree preferred

Tools

EMR software

Job description

HCA Healthcare’s CareNow - Rivers Ave location is seeking a Medical Scribe to document patient encounters in real time and help keep patient care moving efficiently. You will enable providers to focus more on patients by handling notes and data entry.

The role requires medical terminology proficiency, strong typing and documentation skills, and a current BLS certificate. Experience in urgent care is preferred; the team collaborates with physicians and APPs in a fast-paced setting.