Job Description

The Clinic Medical Scribe is responsible for direct patient care, & assisting provider with obtaining & maintaining patient records.

This position will report directly to the Clinic Site Manager.

1. Accompany physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician’s encounter with the patient and others present.

2. List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.

3. Transcribe patient orders including laboratory tests, radiology tests, medications, etc.

4. Document any procedures performed by the physician.

5. Maintain professional appearance and conduct at all times.

6. Establish and maintain effective working relationships with physicians, staff and managements.

7. Document work processes as required.

8. Other duties as assigned.

1. Education:
a.) High school diploma or equivalent.

2. Licensure/Certification:
a.) None.

3. Work Experience:
a.) 6 months’ experience as a Medical Scribe. OR
b.) 6 months related experience and/or training, or equivalent combination of
education and experience.

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