Medical Scribe

The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support primary care providers with clinical documentation so they can focus on providing exceptional care to patients. Scribes assist providers throughout the patient care journey, including huddling each morning to plan visits, joining providers in the exam room to observe and document, and touching base after visits to assist with next steps. Scribes serve as clinical documentation assistants to their paired provider, observe and document patient encounters in real time, and become experts in value-based care, chronic condition documentation and care, and ICD-10 and CPT coding. Scribes receive extensive on-the-job training. The ideal candidate commits at least 1-2 years to this role. Monday - Friday, 8a-5p. Full time, anticipated 40 weekly hours.

Responsibilities

Documenting patient encounters (about 80% of role); Joining the provider in the exam room to observe patient visits; Documenting patient encounters in a structured note, including history of 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 (about 10% of role); Requesting and reviewing medical records; Leveraging 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 provider and care team (about 10% of role); Placing orders and referrals; Addressing tasks; Supporting the care team with additional responsibilities related to clinical documentation; Other duties as assigned

Requirements

Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical 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 served (where indicated); Ability to adapt to new workflows and quickly learn new concepts and skills; Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style; Excellent job attendance including ability to work in-person in clinics; 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 with predictable hours and break times; Compliance with hospital and Oak Street Health policies, including HIPAA; US work authorization

Nice to have

Prior clinical experience, including shadowing and/or volunteering; Prior scribe or transcription experience; Ability to type 70+ words per minute; Ability to be a self-starter within your role scope

Benefits

Medical, dental, and vision coverage; Paid time off; Retirement savings options; Wellness programs; Other resources based on eligibility; Eligible for CVS Health bonus, commission or short-term incentive program