Documenting Patient Encounters ~ 80%
Joining the provider in the exam room to observe patient visits
Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam
Assigning appropriate CPT and ICD-10 codes
Preparing After Visit Summaries
Consulting with provider to ensure accurate and specific documentation
Clinical Documentation Improvement ~ 10%
Requesting and reviewing medical records
Leveraging Oak Street's population health tools to support clinical documentation improvement
Preparing for and supporting Daily Huddles and Clinical Documentation Reviews
Consulting with provider on clinical documentation opportunities
Administrative support for your provider and care team ~ 10%
Placing orders orders and referrals
Addressing tasks
Supporting the care team with additional responsibilities related to clinical documentation
Other duties as assigned

Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience
Prior clinical experience, including shadowing and/or volunteering
Prior scribe or transcription experience
Advanced listening and communication skills
Strong computer literacy and ability to learn new technical workflows
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve
Ability to adapt to new workflows and to quickly learn new concepts and skills
Ability to type 70+ words per minute
Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style
Ability to commit to at least 1 year in role (2+ is ideal)
Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times
Compliance with hospital and Oak Street Health policies, including HIPAA.

Medical Scribe

Key skills