Scribe

Clearwater Cardiovascular & Consultants; Jacksonville (FL); On-site; USD 32,000 - 48,000; Full time

Job summary

Clearwater Cardiovascular & Consultants in Jacksonville, FL seeks a detail-oriented Clinical Documentation Specialist to support real-time EHR entry, chart preparation, and order entry alongside clinicians.

You will ensure HIPAA compliance, accurate coding support when needed, and clear communication with clinical staff. Prior healthcare experience and familiarity with Epic or Cerner are preferred.

Qualifications

• Medical terminology knowledge required.
• Fast and accurate typing/data entry.
• Attention to detail essential.
• Time management and multitasking capability.
• Professional communication with staff and providers.
• Confidentiality and ethical judgment expected.

Responsibilities

• Real-time Documentation: Accurately document patient encounters in the EHR during exams.
• Medical Charting: Record patient history, physical exams, diagnoses, treatment plans, and physician notes.
• Order Entry Support: Enter lab, imaging, and prescription orders as directed by the provider.
• Chart Preparation: Review and prepare patient charts prior to appointments (labs, prior visits, history).
• Clinical Workflow Support: Assist providers in maintaining efficient patient flow.
• Documentation Compliance: Ensure records meet legal, regulatory, and billing requirements.
• Coding Assistance: Support accurate medical coding (ICD-10, CPT) when applicable.
• Communication: Coordinate with providers and clinical staff to clarify documentation.
• Confidentiality: Maintain strict adherence to HIPAA and patient privacy standards.

Skills

Medical terminology

Typing & data entry

Attention to detail

Time management

Professional communication

Confidentiality & ethics

Education

Healthcare-related education

Tools

Epic Systems

Cerner

Job description

• Real-time Documentation: Accurately document patient encounters in the Electronic Health Record (EHR) during exams
• Medical Charting: Record patient history, physical exams, diagnoses, treatment plans, and physician notes
• Order Entry Support: Enter lab, imaging, and prescription orders as directed by the provider
• Chart Preparation: Review and prepare patient charts prior to appointments (labs, prior visits, history)
• Clinical Workflow Support: Assist providers in maintaining efficient patient flow
• Documentation Compliance: Ensure records meet legal, regulatory, and billing requirements
• Coding Assistance: Support accurate medical coding (ICD-10, CPT) when applicable
• Communication: Coordinate with providers and clinical staff to clarify documentation
• Confidentiality: Maintain strict adherence to HIPAA and patient privacy standards

Required Skills

• Medical Terminology Knowledge
• Strong Typing & Data Entry Skills (fast and accurate)
• Attention to Detail
• Time Management & Multitasking
• Professional Communication Skills
• Confidentiality & Ethical Judgment

Preferred Skills / Qualifications

• Experience in a clinical or healthcare setting
• Familiarity with EHR systems (e.g., Epic Systems, Cerner)
• Understanding of medical billing and coding basics
• Pre-med, nursing, or healthcare-related education background

Equal Opportunity Employer
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