Medical Scribe

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