The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. Because our patients and providers rely on our Scribes, the ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields. Responsibilities include documenting patient encounters (~80%), joining the provider in the exam room to observe patient visits, documenting patient encounters in a structured note including history, assessment, plan, physical exam, assigning CPT and ICD-10 codes, preparing after visit summaries, consulting with provider for accurate documentation; clinical documentation improvement (~10%) including requesting and reviewing medical records, leveraging population health tools, supporting daily huddles and documentation reviews, consulting on documentation opportunities; and administrative support (~10%) including placing orders and referrals, addressing tasks, supporting care team with documentation-related responsibilities, and other duties as assigned. Requirements include knowledge of medical terminology and common medications, prior clinical experience preferred, advanced listening and communication skills, strong computer literacy, fluency in certain languages where indicated, ability to adapt and learn quickly, typing speed preferred, teamwork, excellent attendance, commitment to at least 1 year in role, ability to work 40-45 hours per week, compliance with policies including HIPAA, and US work authorization. The role offers paid vacation, sick time, 401K match, health benefits, leadership development, and more.
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