Live Medical Scribe

Job Title: Live Medical Scribe
Position type: Full-Time
Working Hours: 8:00 AM – 5:00 PM Mountain Daylight Time Monday - Friday
Salary rate: $7
Key Responsibilities:

• Support healthcare providers during live patient consultations by accurately documenting clinical encounters in real time.

• Utilize Nudge AI to capture, review, edit, and organize clinical notes, ensuring accuracy, completeness, and clarity.

• Communicate directly with patients, including through video consultations when needed, to collect medical histories, review medications, and assist with pre-consultation questionnaires.

• Update, organize, and maintain accurate patient records and clinical documentation in eClinicalWorks (eCW).

• Document and coordinate provider-directed medical orders, including laboratory tests, X-rays, diagnostic imaging requests, and specialist referrals.

• Review AI-generated clinical notes to identify missing information, correct documentation errors, and ensure all relevant patient details are accurately recorded.

• Follow up on incomplete clinical notes, outstanding documentation, and pending referrals between patient encounters.

• Provide administrative and documentation support to healthcare providers to ensure efficient clinical workflows and seamless patient consultations.

• Prepare and organize clinical notes, medical orders, referrals, and related documentation at the end of each day for the provider's final review and sign-off.

Requirements

• At least 1 year of experience as a medical scribe or in a similar role involving real-time clinical documentation and direct support to healthcare providers is required.

• Clinical or administrative experience in orthopedic or family medicine settings highly preferred.

• Experience using eClinicalWorks (eCW) or other EMR/EHR systems is preferred but not required.

• Strong knowledge of medical terminology and clinical documentation standards.

• Ability to collect patient medical histories, review medications, and assist with medical questionnaires.

• Familiarity with Nudge AI or other AI-powered medical scribing and documentation tools.

• Excellent written and verbal communication skills, organizational abilities, and attention to detail.

• Ability to work efficiently during live consultations while maintaining patient confidentiality.

Basic Requirements

• Must speak and write English clearly and professionally.

• Must have relevant work experience.

• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).

• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.

• Internet: Stable high-speed internet connection (minimum 25 Mbps).

• Audio: Noise-canceling headset.

• Video: Working webcam for virtual meetings.

• Workspace: Quiet and professional work environment.

Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.

• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.

• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.

• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.

• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.

• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.

• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.

• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.
Originally posted on Himalayas