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Medical Scribe
Medical ScribePrideStaff • Fresno, CA, United States
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Medical Scribe

Medical Scribe

PrideStaff • Fresno, CA, United States
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  • [job_card.full_time]
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Pay : $20.00 - $26.00 per hour

Job description :

Job Description : Medical Scribe

Position Title : Oncology Medical Scribe

Department : Clinical Services

Reports To : Medical Provider / Practice Manager

FLSA Status : Non-Exempt

Employment Status : At-Will (California)

Position Summary

The Oncology Medical Scribe provides real-time documentation support to oncology providers by accurately recording patient encounters in the electronic medical record (EMR). This role enhances provider efficiency, supports regulatory compliance, and ensures complete and timely clinical documentation. The Medical Scribe does not provide direct patient care and works under the supervision of licensed healthcare professionals in accordance with California scope-of-practice regulations.

Essential Duties and Responsibilities

  • Accompany providers during patient visits and document :
  • History of present illness (HPI)
  • Review of systems (ROS)
  • Physical examination findings
  • Assessment and treatment plans
  • Enter documentation into the EMR accurately and promptly
  • Prepare patient charts prior to visits, including review of :
  • Laboratory results
  • Imaging reports
  • Pathology reports
  • Prior clinical notes
  • Track and pend orders for provider review and signature (labs, imaging, medications, referrals)
  • Assist with oncology-specific documentation including :
  • Treatment plans and protocols
  • Follow-up and care coordination notes
  • Ensure all documentation complies with clinical, regulatory, and quality standards
  • Maintain strict patient confidentiality in accordance with HIPAA and California privacy laws
  • Respond to provider requests during patient encounters
  • Support clinic workflow and efficiency
  • Perform clerical and documentation-related duties as assigned

Scope of Practice

The Oncology Medical Scribe :

  • Does not provide medical care or clinical decision-making
  • Does not administer medications, treatments, or injections
  • Does not independently enter orders without provider review and approval
  • Functions solely as a documentation and workflow support role under provider supervision
  • Qualifications

    Required :

  • High school diploma or equivalent
  • Knowledge of medical terminology
  • Strong computer and typing skills
  • Ability to maintain confidentiality and professionalism
  • Excellent attention to detail and organization
  • Preferred :

  • Prior experience as a medical scribe or in a medical office
  • Coursework or degree in health sciences, biology, nursing, or related field
  • Familiarity with oncology terminology and EMR systems
  • Skills and Competencies

  • Accurate and timely documentation
  • Strong listening and comprehension skills
  • Ability to work in a fast-paced clinical environment
  • Professional communication skills
  • Dependability and punctuality
  • Ability to multitask and prioritize
  • Emotional intelligence and sensitivity to oncology patients
  • Physical and Work Requirements

  • Ability to sit or stand for extended periods
  • Ability to view computer screens for prolonged periods
  • Ability to hear and understand provider-patient conversations
  • Manual dexterity to operate computer and office equipment
  • Ability to lift up to 15 pounds occasionally
  • Work Environment

  • Oncology clinic and infusion center setting
  • Exposure to patients undergoing cancer treatment
  • Possible exposure to communicable diseases (with appropriate PPE)
  • Fast-paced, patient-centered environment
  • Compliance and Confidentiality

  • Adheres to all HIPAA regulations and California privacy laws
  • Follows OSHA safety standards and infection control policies
  • Completes required compliance and safety training
  • Employment Disclaimer (California)

    Employment with the Practice is at-will. This means that either the employee or the Practice may terminate the employment relationship at any time, with or without cause or notice, in accordance with applicable law.

    This job description is not intended to be all-inclusive and may be modified at the discretion of the Practice to meet operational needs.

    Experience :

  • medical scribe : 2 years (Required)
  • Shift availability :

  • Day Shift (Preferred)
  • Work Location : In person

    Compensation / Pay Rate (Up to) : $20.00 - $26.00

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