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Medical Scribe Specialist

Occupational Description

A Medical Scribe Specialist is a member of the healthcare team, that assists with inputting data for a licensed healthcare provider.  Medical scribe specialists are used to maximize the efficiency and productivity of clinical care, and enable real-time clinical documentation and workflow efficiencies.  

Job Description

The medical scribe specialist assists in a variety of clinical duties, collects information gathered at point-of care under the direction of a licensed healthcare provider, and inputs data to maintain comprehensive and accurate electronic health records. Duties include real time documentation of provider notes, organization of objective health care data, enhancement of the Electronic Health Record, point-of-service collections and patient tracking. 

Employment Characteristics

Medical scribe specialists work in a variety of healthcare settings such as hospitals, ambulatory settings and in specialties including but not limited to dermatology, emergency medicine, internal medicine, oncology, ophthalmology, primary care, urgent care, and vascular care.  

Educational Programs

Length:  Accredited educational programs grant a minimum of a certificate or diploma.  The length varies depending on program design.
Pre-Requisites: A high school diploma or equivalent is required. Applicants must meet specific institutional entrance/admission requirements.
Curriculum: Curricula of accredited programs include courses covering Medical Terminology, Anatomy, Physiology, Pharmacological Terms, Legal Guidelines and Requirements for Healthcare, Principles of Billing, Coding and Reimbursement, Applications of Electronic Health Records, Electronic Medical Record (EMR), Computerized Provider Order Entry (CPOE), Medical Procedures and Equipment, Population Health Improvement through Integrative Medicine, Professionalism Components, Quality Improvement Outcomes and Informational Workflow in Various Healthcare Settings.  Accredited programs must include supervised practicum experiences in a hospital or ambulatory healthcare setting.