Medical Scribe: Real-Time Patient Documentation

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

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) plan match

Employee Stock Purchase Plan

Education support

Fertility & family building assistance

Life insurance

Job summary

CareNow - Wescott, part of HCA Healthcare, is seeking a Medical Scribe to document patient encounters in real time and support efficient clinic operations. You will work alongside providers, capturing histories, exams, procedures, and treatment plans as dictated, enabling clinicians to focus on patient care.

The role requires strong typing, medical terminology knowledge, and excellent attention to detail, with BLS certification and relevant experience or certifications preferred.

Qualifications

• One year of experience in a clinical or healthcare setting with medical terminology familiarity.
• Current BLS certification required.
• Medical Scribe certification, Medical Coding certification, or urgent care experience preferred.

Responsibilities

• Document patient visits in real time, capturing histories, exams, procedures, diagnoses, and treatment plans as dictated by the provider.
• Enter orders into the EMR exactly as instructed and ensure complete and accurate documentation.
• Create and document telephone encounters and other patient communications under the provider's direction.
• Ensure documentation reflects the provider's clinical findings and E/M level.
• Collaborate with physicians and APPs; escalate documentation concerns promptly for clarification.
• Maintain accurate, organized, confidential EMRs while supporting clinic workflow.

Skills

Typing & documentation

Medical terminology

Communication skills

Time management

Education

High school diploma or GED

Associate's or Bachelor's degree (preferred)

Job description

CareNow - Wescott, part of HCA Healthcare, is seeking a Medical Scribe to document patient encounters in real time and support efficient clinic operations. You will work alongside providers, capturing histories, exams, procedures, and treatment plans as dictated, enabling clinicians to focus on patient care.

The role requires strong typing, medical terminology knowledge, and excellent attention to detail, with BLS certification and relevant experience or certifications preferred.