Medical Scribe

Company: Oak Street Health

Title: Medical Scribe (Clinical Informatics Specialist)

Location: Various Locations in New York City

The purpose of a Clinical Informatics Specialist (CIS or 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:

• 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 and referrals
  • Addressing tasks
  • Supporting the care team with additional responsibilities related to clinical documentation
• Other administrative duties as assigned

Role Requirements:

• At least 1 year of Scribe experience, or past employment in a role that required fast-paced transcription with a focus on accuracy. 
• Must commit a minimum of 1 year to the position, though 2 or more years is strongly preferred. 
• Minimum typing speed of 55 WPM, though 70+ WPM is strongly preferred.
• May be required to assist other office locations in the nearby vicinity, depending on opportunity location. 
• Knowledge of medical terminology and common medications
• Prior clinical experience, including shadowing and/or volunteering
• Advanced listening and communication skills.
• Strong computer literacy and ability to learn new technical workflows
• Ability to work well on your own as a self-starter, as well as the willingness to take direction and be a member of the team.  
• Ability to adapt to new workflows and to quickly learn new concepts and skills, especially when working with a paired provider’s processes and procedures
• Excellent job attendance, including the ability to work in-person within the clinic for approximately 40-45 hours per week. This is a full-time position with predictable hours and break times.
• Compliance with hospital and Oak Street Health policies, including HIPAA
• Fluency in another language is not required, but is a plus when it comes to connecting with our diverse patient communities.
• US work authorization.