Job Category: Ophthalmology / Eye Care
Job Type: Full-time (On-site)
Job Location: Ashburn, VA
Job Description
We are seeking a detail-oriented and reliable Medical Scribe to support healthcare providers by accurately documenting patient encounters in the electronic medical record (EMR/EHR). The Medical Scribe will work closely with physicians and other clinical staff to ensure timely, complete, and accurate documentation while maintaining strict patient confidentiality.
Key Responsibilities
- Accurately document patient histories, physical examinations, assessments, diagnoses, treatment plans, and follow-up instructions during patient encounters.
- Enter and update patient information in the EMR/EHR system.
- Assist providers with reviewing and organizing medical records, laboratory results, imaging reports, and other clinical information.
- Prepare charts and documentation prior to patient visits.
- Ensure medical documentation is complete, accurate, and consistent with provider instructions.
- Assist with referral documentation, prescription information, and other administrative clinical tasks as directed.
- Communicate effectively with physicians, nurses, medical assistants, and other healthcare professionals.
- Maintain patient privacy and comply with HIPAA and organizational confidentiality policies.
- Complete documentation promptly and efficiently while maintaining a high level of accuracy.
- Perform other clinical documentation or administrative duties as assigned.
Qualifications
- High school diploma or equivalent required; college coursework or a degree in a healthcare-related field preferred.
- Previous medical scribing, healthcare, clinical, or medical office experience preferred.
- Familiarity with medical terminology, anatomy, physiology, and clinical documentation.
- Strong written and verbal communication skills.
- Excellent attention to detail and ability to accurately capture information in a fast-paced environment.
- Proficiency with computers and electronic medical record systems.
- Ability to maintain confidentiality and exercise sound judgment when handling sensitive patient information.
- Ability to work effectively with healthcare providers and as part of a multidisciplinary team.
Preferred Skills
- Knowledge of common medical abbreviations and terminology.
- Experience with EMR/EHR platforms.
- Strong typing and data-entry skills.
- Ability to multitask and prioritize competing responsibilities.
- Strong organizational and time-management skills.
- Ability to learn new clinical software and workflows quickly.
Work Environment
This position may be based in a physician office, outpatient clinic, hospital, emergency department, or other healthcare setting. The Medical Scribe may work alongside providers during patient examinations and must be comfortable working in a fast-paced clinical environment.
Physical Requirements
- Ability to sit or stand for extended periods.
- Ability to use a computer and keyboard for prolonged periods.
- Ability to move throughout the clinical environment as required.
- Ability to maintain focus and accuracy during extended periods of documentation.
Employment Details
Job Title: Medical Scribe
Employment Type: Full-Time
Schedule: Mon – Fri
Location: Ashburn, VA
Pay Range: Based on Qualifications
Equal Opportunity Statement
We are an equal opportunity employer committed to creating an inclusive and respectful workplace. We encourage qualified candidates from all backgrounds to apply.
