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

HCA Healthcare, Inc.; West Columbia (SC); On-site; USD 17,000 - 22,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) matching

Education support

Employee assistance programs

Job summary

CareNow, an affiliate of HCA Healthcare, is seeking a Medical Scribe to document patient encounters in real time and support clinicians in a fast-paced urgent care setting. You will capture histories, exams, procedures and treatment plans, enter orders into the EMR, and help maintain accurate confidential records while supporting clinic workflow.

High attention to detail is essential. Requirements include a high school diploma or GED, 1 year of clinical experience with medical terminology,

Qualifications

• High school diploma or GED required.
• 1 year of clinical or healthcare experience with medical terminology.
• Strong typing, documentation and computer skills with attention to detail.
• Current BLS certification required.
• Associates or Bachelors degree, Anatomy & Physiology coursework, Medical Scribe or Medical Coding certifications preferred.

Responsibilities

• Document patient visits in real time including histories, exams, procedures, diagnoses and treatment plans as dictated by the provider.
• Enter orders into the EMR accurately and ensure documentation is complete and precise.
• Create and document telephone encounters and other patient communications under provider direction.
• Ensure documentation reflects clinical findings and E/M level.
• Collaborate with physicians and advanced practitioners, escalating questions when needed.
• Maintain organized, confidential electronic medical records and support efficient clinic workflow.

Skills

Medical terminology

Typing

Documentation

Attention to detail

Communication

Time management

EMR entry

Education

High school diploma or GED

Associates or Bachelors preferred

Anatomy & Physiology coursework

Medical Scribe certification

Medical Coding certification

Tools

EMR system

Job description

CareNow, an affiliate of HCA Healthcare, is seeking a Medical Scribe to document patient encounters in real time and support clinicians in a fast-paced urgent care setting. You will capture histories, exams, procedures and treatment plans, enter orders into the EMR, and help maintain accurate confidential records while supporting clinic workflow.

High attention to detail is essential. Requirements include a high school diploma or GED, 1 year of clinical experience with medical terminology,